Individual
ELYSIA NIEDERNHOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8904 CAMBRIDGE AVE, KANSAS CITY, MO 64138-5478
(217) 891-2106
Mailing address
8904 CAMBRIDGE AVE, KANSAS CITY, MO 64138-5478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.421333
IL
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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