Individual
MACYN LANE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16801 W 116TH ST, LENEXA, KS 66219-9603
(913) 538-0777
(913) 538-0774
Mailing address
16801 W 116TH ST, LENEXA, KS 66219-9603
(913) 579-1239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5380606092
KS
Other
Enumeration date
10/11/2021
Last updated
10/12/2021
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