Endicott, Renee
Endicott, Renee is an individual health care provider with primary practice located at 2464 Charlotte St , Kansas City MO 64108-2718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Endicott, Renee can be contacted via phone (816) 590-4907.Contact Information
Primary practice address
2464 Charlotte St
Kansas City MO 64108-2718
Phone: (816) 590-4907
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 094920 | Missouri |
Profile Details
| NPI number | 1689664690 |
|---|---|
| LBN Legal business name | Endicott, Renee |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | May 24th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689664690 | NPPES |
| Missouri | MEDICAID | 427007901 |
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