Healthcare Provider Details

I. General information

NPI: 1518432590
Provider Name (Legal Business Name): HANNAH RYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2018
Last Update Date: 05/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 E MEYER BLVD STE 411
KANSAS CITY MO
64132-1152
US

IV. Provider business mailing address

16101 E 85TH ST
KANSAS CITY MO
64139-1211
US

V. Phone/Fax

Practice location:
  • Phone: 816-363-2500
  • Fax: 816-363-8741
Mailing address:
  • Phone: 785-608-0047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License Number13-116251-102
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2018042342
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License Number2011029292
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: