Individual
SHELLY ANN HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
18640 E 38TH TER S, INDEPENDENCE, MO 64057-2304
(816) 229-1191
(816) 229-1198
Mailing address
7590 N EVERTON AVE, KANSAS CITY, MO 64152-4685
(573) 280-4905
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2023001571
MO
207QA0505X
Adult Medicine Physician
5381916012
KS
Other
Enumeration date
02/15/2023
Last updated
07/28/2023
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