Individual
BRANDI MISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2011035337
MO
363LP0200X
Pediatric Nurse Practitioner
209.008879
IL
363LP0200X
Pediatric Nurse Practitioner
53-75557-021
KS
Other
Enumeration date
01/11/2012
Last updated
09/13/2016
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