Individual
TARA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
4536 GROVE ST, SHAWNEE, KS 66226-2377
(913) 669-6348
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2001023101
MO
363LP0200X
Pediatric Nurse Practitioner
53-45977-122
KS
Other
Enumeration date
02/20/2007
Last updated
05/14/2012
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