Individual
SHANNON MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13101 STATE LINE RD, KANSAS CITY, MO 64145-1650
(866) 389-2727
Mailing address
13101 STATE LINE RD, KANSAS CITY, MO 64145-1650
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013045361
MO
363LF0000X
Family Nurse Practitioner
75769
KS
Other
Enumeration date
10/11/2012
Last updated
01/17/2018
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