Individual
MALLORY EUBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN-C
Contact information
Practice address
2100 SE BLUE PKWY, LEES SUMMIT, MO 64063-1007
(816) 282-5000
Mailing address
9022 NE 103RD TER, KANSAS CITY, MO 64157-7872
(816) 560-6300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018043924
MO
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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