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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689664690 NPPES
Missouri MEDICAID 427007901

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