Healthcare Provider Details

I. General information

NPI: 1457622870
Provider Name (Legal Business Name): ZIVILE NAURONYTE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2012
Last Update Date: 07/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD
KANSAS CITY KS
66160-3503
US

IV. Provider business mailing address

PO BOX 411851 3901 RAINBOW BLV
KANSAS CITY KS
66160-3503
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number32011039960
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: