Individual
LISA MARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 541-5000
Mailing address
14409 S DARNELL ST, OLATHE, KS 66062-4894
(913) 706-3226
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
45875
KS
Other
Enumeration date
04/23/2010
Last updated
06/29/2017
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