Individual
MAITHE ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2340 E MEYER BLVD, BLDG 2, SUITE 392, KANSAS CITY, MO 64132
(816) 444-7977
(630) 528-9578
Mailing address
4601 W 109TH ST STE 100, OVERLAND PARK, KS 66211-1313
(913) 942-0540
(630) 528-9589
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
086876
MO
363LF0000X
Family Nurse Practitioner
086876
MO
Other
Enumeration date
05/04/2006
Last updated
01/20/2020
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