Individual
TONI PETRALIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 MERCIER ST, KANSAS CITY, MO 64114-2122
(816) 929-4455
Mailing address
8000 MERCIER ST, KANSAS CITY, MO 64114-2122
(816) 929-4455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-81453-122
KS
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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