Individual
ANU ITTYCHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6803 W 64TH ST STE 6803W64, OVERLAND PARK, KS 66202-4128
(913) 384-2273
Mailing address
14729 S MURRAY LN, OLATHE, KS 66062-4747
(913) 384-2273
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
81788
KS
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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