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Individual

LINDSEY MARIE FENZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4881 NE GOODVIEW CIR, LEES SUMMIT, MO 64064
(913) 574-2350
(913) 574-2413
Mailing address
11300 CORPORATE AVE, LENEXA, KS 66219-1374
(913) 574-2800
(913) 574-2336

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116650
KS
163W00000X
Registered Nurse
2012000115
MO
363LA2200X
Adult Health Nurse Practitioner
111305
NE
363LA2200X
Adult Health Nurse Practitioner
Primary
2011039080
MO
363LA2200X
Adult Health Nurse Practitioner
75542
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912283425
MO
05
200851140A
KS
Enumeration date
10/28/2011
Last updated
10/06/2021
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