Healthcare Provider Details

I. General information

NPI: 1346934239
Provider Name (Legal Business Name): THERESIA BEDDA MUSHI MSN, ARNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 COLLEGE BLVD STE 100
OVERLAND PARK KS
66210-2671
US

IV. Provider business mailing address

8101 COLLEGE BLVD STE 100
OVERLAND PARK KS
66210-2671
US

V. Phone/Fax

Practice location:
  • Phone: 913-404-9848
  • Fax: 913-884-1720
Mailing address:
  • Phone: 913-404-9848
  • Fax: 913-884-1720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5382246122
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: