Individual
CHRISTINE A MARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2000
Mailing address
8441 SHADY BEND RD, LENEXA, KS 66227-3003
(913) 897-7489
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78574-062
KS
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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