Individual
MS. ELIZABETH ANN MULVENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
4400 BROADWAY ST, SUITE 510, KANSAS CITY, MO 64111-3498
(816) 932-2700
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
151218
MO
Other
Enumeration date
06/26/2007
Last updated
12/12/2012
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