Individual
MS. DIANE A GAUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
LIFESTANCE HEALTH, 8400 W 110TH STREET SUITE 250, OVERLAND PARK, KS 66210-2461
(913) 210-2019
(913) 327-7054
Mailing address
8400 W 110TH ST STE 250, OVERLAND PARK, KS 66210-2461
(913) 210-2019
(316) 686-6764
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74065
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100331210A
—
KS
Enumeration date
06/10/2005
Last updated
11/12/2024
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