Individual
ZEBIDA T LISSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1731 N 90TH ST, KANSAS CITY, KS 66112-1515
(913) 732-5903
Mailing address
1731 N 90TH ST, KANSAS CITY, KS 66112-1515
(913) 732-5903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77267
KS
363LF0000X
Family Nurse Practitioner
5377262021
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10030232001
—
NE
01
—
110034021
PTAN
KS
05
—
30003913850015
—
KS
05
—
420123393
—
MO
Enumeration date
07/14/2016
Last updated
03/12/2026
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