Healthcare Provider Details

I. General information

NPI: 1043299969
Provider Name (Legal Business Name): MARY M LUDER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 SHAWNEE MISSION PKWY
WESTWOOD KS
66205-2003
US

IV. Provider business mailing address

2650 SHAWNEE MISSION PKWY
WESTWOOD KS
66205-2003
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1369011062
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number135783
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP45665
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: