Healthcare Provider Details

I. General information

NPI: 1467922617
Provider Name (Legal Business Name): DENISE MARIE MCGUIRE MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2018
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

7032 DEARBORN ST
OVERLAND PARK KS
66204-1533
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3534
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-117413-102
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number2014038029
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: