Healthcare Provider Details
I. General information
NPI: 1295208254
Provider Name (Legal Business Name): HANNAH ELIZABETH EFFERTZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/02/2019
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5520 COLLEGE BLVD STE 365
OVERLAND PARK KS
66211-1658
US
IV. Provider business mailing address
2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US
V. Phone/Fax
- Phone: 913-696-5740
- Fax:
- Phone: 816-234-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | 53-82335-032 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | 2023018580 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: