Individual
MRS. GRACE NICOLE LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1131 W KANSAS ST, LIBERTY, MO 64068-2281
(816) 287-8144
Mailing address
4040 N HARDESTY AVE, KANSAS CITY, MO 64117-2026
(402) 515-5233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019003968
MO
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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