Individual
QUEEN B. USI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
1010 CARONDELET DR, KANSAS CITY, MO 64114
(816) 523-0103
Mailing address
1010 CARONDELET DR, KANSAS CITY, MO 64114-4859
(816) 523-0103
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2017021977
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201905080NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500776764
—
OR
Enumeration date
05/01/2017
Last updated
07/21/2022
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