Individual
INA SHUPE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN CS CAP UHCNS
Contact information
Practice address
10918 ELM AVENUE, CRITTENTON CHILDREN'S CENTER, KANSAS CITY, MO 64134
(816) 765-6600
(816) 767-4159
Mailing address
10918 ELM AVENUE, CRITTENTON CHILDREN'S CENTER, KANSAS CITY, MO 64134
(816) 765-6600
(816) 767-4159
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
057302
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
KS74239
KS
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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