MEDICARE: ADVANCED PROVIDER SERVICES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	104126	MO

General Provider Information

NPI Number	:	1437428398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PROVIDER SERVICES, P.C.

Provider Business Mailing Address
First Line	:	901 S SPRUCE ST
Second Line	:
City	:	BATES CITY
State	:	MO
Zip	:	64011-9707
Country	:	US
Telephone Number	:	816-896-0416
Fax Number	:	816-690-3147

Provider Business Practice Location Address
First Line	:	203 E MARKET ST
Second Line	:
City	:	BATES CITY
State	:	MO
Zip	:	64011-9745
Country	:	US
Telephone Number	:	816-896-0416
Fax Number	:	816-690-3147

Authorized Official
Title or Position	:	OWNER/NURSE PRACTITIONER
Name	:	MRS. ANGELA JO HILBRENNER
Credential	:	FNP-C
Telephone Number	:	816-896-0416

Provider Enumeration Date	:	12/22/2011
Last Update Date	:	12/22/2011

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