Individual
INESSA IZYEVNA SERGEYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3601 NE RALPH POWELL RD STE C, LEES SUMMIT, MO 64064-2316
(816) 285-5053
(816) 842-1974
Mailing address
5501 NW 62ND TER STE 100, KANSAS CITY, MO 64151-2412
(816) 842-4440
(816) 842-1974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010031309
MO
363LF0000X
Family Nurse Practitioner
53-75284-122
KS
363LF0000X
Family Nurse Practitioner
APRN11018451
FL
Other
Enumeration date
12/13/2010
Last updated
08/17/2022
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