Individual
MRS. HAYLEY ELIZABETH SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 983-6759
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 983-6759
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019030992
MO
Other
Enumeration date
02/26/2015
Last updated
05/20/2020
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