Individual
SHARON K LUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4401 WORNALL RD, SUITE 2710, KANSAS CITY, MO 64111-3220
(816) 932-2493
(816) 932-6139
Mailing address
4401 WORNALL RD, SUITE 2710, KANSAS CITY, MO 64111-3220
(816) 932-2493
(816) 932-6139
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0073919
OK
363LN0000X
Neonatal Nurse Practitioner
Primary
63118
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200100770A
—
OK
Enumeration date
11/28/2006
Last updated
07/04/2013
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