Individual
MICHAEL A. VIERTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.N., FNP-C
Contact information
Practice address
2790 CLAY EDWARDS DR STE 630, NORTH KANSAS CITY, MO 64116
(816) 471-6611
(816) 471-6192
Mailing address
2790 CLAY EDWARDS DR STE 630, NORTH KANSAS CITY, MO 64116-3274
(816) 471-6611
(816) 471-6192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
135719
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29725029
BCBS
—
Enumeration date
01/05/2007
Last updated
06/05/2018
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