Individual
GWENDOLYN GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1225
(816) 404-3106
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1225
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2016002969
MO
363LA2100X
Acute Care Nurse Practitioner
5377073042
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420029103
—
MO
Enumeration date
02/09/2016
Last updated
12/09/2020
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