Individual
LORETTA ANN MACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4120
(816) 404-4108
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4120
(816) 404-4021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
085647
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423942606
—
MO
Enumeration date
07/20/2006
Last updated
09/27/2012
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