Individual
MARA WEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 WORNALL ROAD, KANSAS CITY, MO 64111
(816) 932-3679
Mailing address
PO BOX 504407, ST. LOUIS, MO 63150
(816) 502-7000
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
2016005298
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016005298
NP LICENSE
MO
Enumeration date
03/01/2016
Last updated
03/01/2016
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