Healthcare Provider Details

I. General information

NPI: 1740139559
Provider Name (Legal Business Name): PATRICIA KATHLEEN DANZO RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 01/26/2026
Certification Date: 01/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 N TWYMAN RD
INDEPENDENCE MO
64058-3212
US

IV. Provider business mailing address

3205 N TWYMAN RD
INDEPENDENCE MO
64058-3212
US

V. Phone/Fax

Practice location:
  • Phone: 816-737-8356
  • Fax:
Mailing address:
  • Phone: 816-737-8356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number2016039980
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: