Individual
CHANDLER CATHERINE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 960-3080
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2023015922
MO
363LP2300X
Primary Care Nurse Practitioner
Primary
2023015922
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023015922
MISSOURI STATE BOARD OF NURSING - CNP
MO
01
—
53-82558-091
KANSAS STATE BOARD OF NURSING - CNP
KS
Enumeration date
05/10/2023
Last updated
10/17/2023
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