Individual
SHANNON DALE BURCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 DIAMOND PKWY, NORTH KANSAS CITY, MO 64116-4328
(816) 842-6717
(816) 842-2574
Mailing address
2529 GLENN HENDREN DR STE 202, LIBERTY, MO 64068-9602
(816) 781-8400
(816) 781-8263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024009618
MO
Other
Enumeration date
08/12/2024
Last updated
09/24/2024
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