Organization
NDH MEDICARE RISK ASSESSMENT LLC
Active
Other names
Eastside Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HAMILTON FNP (OWNER)
(816) 255-0837
Entity
Organization
Contact information
Practice address
8801 E 63RD ST STE 102, RAYTOWN, MO 64133-4865
(816) 255-0837
Mailing address
303 NW CENTRAL ST, LEES SUMMIT, MO 64063-1920
(816) 255-0837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
12/04/2024
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