Individual
MR. JAMES THAITHI MWANGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 BLUE RIDGE BLVD, RAYTOWN, MO 64133-5629
(816) 966-0900
(816) 347-3029
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
(816) 347-3200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2022045839
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
117983
KS
Other
Enumeration date
11/11/2022
Last updated
08/15/2025
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