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Individual

LAURA BIGGS ERICSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, NP-C

Contact information

Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 960-8000
(816) 960-8046
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011004376
MO
363LF0000X
Family Nurse Practitioner
75317
KS

Other

Enumeration date
06/02/2011
Last updated
04/18/2016
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