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Individual

MRS. TAKEDRIA MINGO-BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
4400 E 39TH ST, KANSAS CITY, MO 64128-2818
(816) 791-7177
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2011034040
MO
207Q00000X
Family Medicine Physician
2018035915
MO
363L00000X
Nurse Practitioner
Primary
2018035915
MO
363LF0000X
Family Nurse Practitioner
Primary
2018035915
MO
363LF0000X
Family Nurse Practitioner
53-81402-052
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255816591
NPI
MO
Enumeration date
10/02/2018
Last updated
02/17/2026
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