Individual
KRISTEN MICHELLE WASTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, APRN
Contact information
Practice address
8340 MISSION RD STE 100, PRAIRIE VILLAGE, KS 66206-1367
(913) 642-2100
(913) 642-2127
Mailing address
14621 GRANDVIEW ST, OVERLAND PARK, KS 66221-2216
(913) 961-4242
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
78540
KS
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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