Individual
RACHEL LYN ITKONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4200
Mailing address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4200
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2022002985
MO
363LF0000X
Family Nurse Practitioner
Primary
53-83079-112
KS
Other
Enumeration date
01/27/2022
Last updated
02/26/2025
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