Individual
ELISE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
1109 TAMARISK DR, LEAVENWORTH, KS 66048-5595
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
13-119552-072
KS
363LP0200X
Pediatric Nurse Practitioner
2022019412
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
53-81269-072
KS
Other
Enumeration date
03/25/2022
Last updated
06/26/2022
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