Organization
GOLDENCHILDRN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENETRA NORRIS RN (OWNER)
(816) 287-0311
Entity
Organization
Contact information
Practice address
8508 EVERETT ST, RAYTOWN, MO 64138-3133
(816) 287-0311
Mailing address
4050 PENNSYLVANIA AVE STE 115, KANSAS CITY, MO 64111-3041
(816) 287-0311
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WA2000X
Administrator Registered Nurse
—
—
163WC1400X
College Health Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
—
—
163WC1600X
Continuing Education/Staff Development Registered Nurse
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447859921
RN NPI
—
Enumeration date
11/05/2020
Last updated
11/19/2020
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