Individual
ANGELA J INTERIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-3035
(913) 588-6765
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-3035
(913) 588-6765
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2014042052
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
76499
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014042052
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
01
—
53-76499-121
KANSAS STATE BOARD OF NURSING
KS
Enumeration date
11/25/2014
Last updated
10/23/2023
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