Individual
MACI LOUISE ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3066 SW GRANDSTAND CIR, LEES SUMMIT, MO 64081-3866
(913) 215-5008
(816) 447-3960
Mailing address
PO BOX 875743, KANSAS CITY, MO 64187-5743
(913) 215-5008
(816) 447-3960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018006926
MO
363LF0000X
Family Nurse Practitioner
Primary
2018006926
MO
Other
Enumeration date
03/26/2018
Last updated
06/18/2020
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