Individual
SUSANN M BRISENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10601 QUIVIRA RD, STE 200, OVERLAND PARK, KS 66215-2310
(913) 541-3340
(913) 492-7857
Mailing address
901 E 104TH ST, STE 200, KANSAS CITY, MO 64131-4517
(913) 541-3340
(913) 492-7857
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011002166
KS
Other
Enumeration date
03/24/2011
Last updated
03/23/2016
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