Individual
NICHOLAS ROBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-C
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Mailing address
18210 E UNION SCHOOL RD, INDEPENDENCE, MO 64058-1978
(913) 433-4354
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2013004943
MO
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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