Individual
TAMMY RAYANN MINSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 SW LONGVIEW BLVD STE 200, LEES SUMMIT, MO 64081-2116
(913) 215-5008
(913) 297-1202
Mailing address
PO BOX 875743, KANSAS CITY, MO 64187-5743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017020879
MO
Other
Enumeration date
06/12/2017
Last updated
02/14/2020
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