Individual
ELIZABETH TRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
13340 HOLMES RD, KANSAS CITY, MO 64145-1437
(816) 599-7382
Mailing address
700 S FOX RIDGE DR, RAYMORE, MO 64083-9079
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024009300
MO
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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