Individual
SYBLE JEAN CRETZMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19550 E. 39TH ST., STE 300, INDEPENDENCE, MO 64057-1855
(816) 478-0220
(816) 795-3484
Mailing address
19550 E. 39TH ST., STE 300, INDEPENDENCE, MO 64057-1855
(816) 478-0220
(816) 795-3484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
113738
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
113738
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429676307
—
MO
Enumeration date
01/22/2007
Last updated
11/19/2021
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