Healthcare Provider Details

I. General information

NPI: 1205683083
Provider Name (Legal Business Name): ADVANCED RESOLUTION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33490 LEXINGTON AVE STE G
DE SOTO KS
66018-8124
US

IV. Provider business mailing address

33490 LEXINGTON AVE STE G
DE SOTO KS
66018-8124
US

V. Phone/Fax

Practice location:
  • Phone: 913-586-9863
  • Fax: 913-248-2808
Mailing address:
  • Phone: 913-586-9863
  • Fax: 913-248-2808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NANA AMMA ASANTE
Title or Position: PROVIDER
Credential:
Phone: 913-602-0622