Individual
MRS. NATASHA NICOLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3550 S 4TH ST, LEAVENWORTH, KS 66048-5071
(913) 680-6100
Mailing address
9113 ALLMAN RD, LENEXA, KS 66219-1175
(913) 832-0143
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-82060-031
KS
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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