Individual
MRS. LYLA R. MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1010 CARONDELET DR STE 224A, KANSAS CITY, MO 64114-4822
(913) 563-6644
(816) 943-6122
Mailing address
1010 CARONDELET DR STE 224A, KANSAS CITY, MO 64114-4822
(913) 563-6644
(816) 943-6122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019029220
MO
363LF0000X
Family Nurse Practitioner
Primary
F0311009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019029220
MISSOURI STATE BOARD OF NURSING
MO
01
—
F0311009
AMERICAN ACADEMY OF NURSE PRACTITIONERS
MO
Enumeration date
03/30/2011
Last updated
01/27/2022
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