Individual
LAURA FAYE TIESZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12541 FOSTER ST STE 200, OVERLAND PARK, KS 66213-2307
(913) 327-7505
Mailing address
416 SW FOOT HILL DR, GRAIN VALLEY, MO 64029-8425
(603) 988-5818
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0
KS
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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