Individual
SHAUNI MARIE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4731 S COCHISE DR STE 100, INDEPENDENCE, MO 64055-6975
(816) 373-1111
Mailing address
3505 NE 34TH TER, KANSAS CITY, MO 64117-2607
(816) 536-8413
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2022009228
MO
363LP0200X
Pediatric Nurse Practitioner
5381057062
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022009228
MISSOURI STATE BOARD OF NURSING
MO
01
—
202222334
PEDIATRIC NURSING CERTIFICATION BOARD
—
01
—
5381057062
KANSAS BOARD OF NURSING
KS
Enumeration date
09/06/2022
Last updated
06/07/2024
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