Individual
TANISHA ANNER DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9031 WALNUT ST, KANSAS CITY, MO 64114-3728
(816) 877-1981
Mailing address
9031 WALNUT ST, KANSAS CITY, MO 64114-3728
(816) 877-1981
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021041802
MO
Other
Enumeration date
10/22/2021
Last updated
02/01/2024
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