Individual
DIANNE LOU CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, ARNP
Contact information
Practice address
1125 W SPRUCE ST, OLATHE, KS 66061-3123
(913) 782-2100
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
32
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
74300
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010
—
KS
01
—
30425015
BCBS OF KC
—
Enumeration date
08/30/2006
Last updated
07/23/2010
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