Healthcare Provider Details

I. General information

NPI: 1932315751
Provider Name (Legal Business Name): MAUREEN A. COLEMAN BSN, RN,DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 E 106TH TER
KANSAS CITY MO
64114-5028
US

IV. Provider business mailing address

34 E 106TH TER
KANSAS CITY MO
64114-5028
US

V. Phone/Fax

Practice location:
  • Phone: 505-850-4376
  • Fax:
Mailing address:
  • Phone: 505-850-4376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1338
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number201729858
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License NumberR36997
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number2019000712
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number14-148057-042
License Number StateKS
# 6
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number0841
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: