Individual
ALISSA M FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10161 N AMBASSADOR DR, KANSAS CITY, MO 64153-1366
(816) 691-3091
(816) 346-7014
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-79561-042
KS
363LF0000X
Family Nurse Practitioner
Primary
2024008616
MO
Other
Enumeration date
08/23/2017
Last updated
06/10/2024
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