Healthcare Provider Details

I. General information

NPI: 1740505700
Provider Name (Legal Business Name): MISTY N FLOERSCH ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12351 W 96TH TER STE 204
LENEXA KS
66215-4410
US

IV. Provider business mailing address

12351 W 96TH TER STE 204
LENEXA KS
66215-4410
US

V. Phone/Fax

Practice location:
  • Phone: 816-918-9270
  • Fax: 816-817-8982
Mailing address:
  • Phone: 816-918-9270
  • Fax: 816-817-8982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberKS-5375102121
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: