Organization
VENVISOR HEALTH MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKI MALDEN (VICE PRESIDENT / REGIONAL OPERATION)
(203) 567-5243
Entity
Organization
Contact information
Practice address
107 W 9TH ST FL 2, KANSAS CITY, MO 64105-1705
(203) 567-5243
Mailing address
PO BOX 2533, SHELTON, CT 06484-8533
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/11/2020
Last updated
10/15/2021
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