Individual
LAJADA DOWNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5440 NW 64TH ST, KANSAS CITY, MO 64151-2415
(866) 389-2727
Mailing address
1914 SWIFT AVE, KANSAS CITY, MO 64116-3447
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017042568
MO
363LF0000X
Family Nurse Practitioner
Primary
5377976062
KS
Other
Enumeration date
02/22/2018
Last updated
12/14/2021
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