Individual
MARTALEA ANSELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12200 W 106TH ST, SUITE 320, OVERLAND PARK, KS 66215-2300
(913) 227-0506
(913) 227-0570
Mailing address
12200 W 106TH ST, SUITE 320, OVERLAND PARK, KS 66215-2300
(913) 227-0506
(913) 227-0570
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
45415
KS
Other
Enumeration date
12/05/2005
Last updated
10/22/2007
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