Individual
KRISTIN LAINE NERSESYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
916 SW BENNINGTON PL, LEES SUMMIT, MO 64081-3700
(816) 204-8808
Mailing address
916 SW BENNINGTON PL, LEES SUMMIT, MO 64081-3700
(816) 204-8808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020036565
MO
Other
Enumeration date
10/29/2020
Last updated
10/17/2021
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