Individual
MICHELE D OMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9107 NW 45 HWY, PARKVILLE, MO 64152-3958
(816) 251-5775
(816) 251-5776
Mailing address
901 E 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131-4517
(816) 599-9499
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
1487941072
KS
363LF0000X
Family Nurse Practitioner
Primary
2015005069
MO
363LF0000X
Family Nurse Practitioner
53-76735
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VADOO
UPIN
—
Enumeration date
02/18/2010
Last updated
03/30/2017
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