Individual
MADELEINE DUSSELIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
2513 W 77TH ST, PRAIRIE VILLAGE, KS 66208-3808
(816) 769-4943
Mailing address
2513 W 77TH ST, PRAIRIE VILLAGE, KS 66208-3808
(816) 769-4943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021042606
MO
Other
Enumeration date
10/25/2021
Last updated
11/02/2021
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