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Individual

THERESA L SIMPELO CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 221-5050
(816) 471-1247
Mailing address
1900 SWIFT AVE STE 203, P O BOX 7391, NORTH KANSAS CITY, MO 64116-3400
(816) 221-5050
(816) 471-1247

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132225
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
132225
MO

Other

Enumeration date
04/28/2010
Last updated
07/02/2012
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