Individual
MARY WACHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1309 NE ERNEST WAY, LEES SUMMIT, MO 64086-4000
(816) 838-7352
Mailing address
1309 NE ERNEST WAY, LEES SUMMIT, MO 64086-4000
(816) 838-7352
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2022030317
MO
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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