Individual
MICHELLE LEE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
29532 W 196 ST, GARDNER, KS 66030-9285
(785) 418-7693
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
13-111699-121
KS
363LN0000X
Neonatal Nurse Practitioner
Primary
2020032642
MO
363LN0000X
Neonatal Nurse Practitioner
5379701121
KS
Other
Enumeration date
07/07/2020
Last updated
02/13/2024
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