Individual
MRS. ALLEGRA NOEL GRANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PNP-AC/PC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019021909
MO
363L00000X
Nurse Practitioner
Primary
53-78867-011
KS
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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