Individual
MRS. MARY LOUISE WIELICZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-0001
(913) 588-6029
Mailing address
8604 W 72ND TER, OVERLAND PARK, KS 66204-1752
(913) 236-5703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
079101
MO
363LF0000X
Family Nurse Practitioner
Primary
46296
KS
Other
Enumeration date
10/28/2008
Last updated
03/09/2009
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