Healthcare Provider Details

I. General information

NPI: 1851456735
Provider Name (Legal Business Name): ELIZABETH ANN MOLLEKER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 E MEYER BLVD STE T207
KANSAS CITY MO
64132-1149
US

IV. Provider business mailing address

2800 CLAY EDWARDS DR
NORTH KANSAS CITY MO
64116-3220
US

V. Phone/Fax

Practice location:
  • Phone: 816-276-9100
  • Fax: 816-276-9101
Mailing address:
  • Phone: 816-691-1655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2002022317
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14-94030-052
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number45930
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: