Healthcare Provider Details

I. General information

NPI: 1891423240
Provider Name (Legal Business Name): MORGAN SUTTON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2022
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 PARK ST STE 200
LENEXA KS
66215-3353
US

IV. Provider business mailing address

9100 PARK ST STE 200
LENEXA KS
66215-3353
US

V. Phone/Fax

Practice location:
  • Phone: 913-712-9680
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2022011932
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number81462
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: