Healthcare Provider Details

I. General information

NPI: 1194781690
Provider Name (Legal Business Name): LINDA MARIE HUSSEY RN,MSN,CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 07/08/2007
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

12545 KNOX ST
OVERLAND PARK KS
66213-1832
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3000
  • Fax:
Mailing address:
  • Phone: 913-851-0023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number055384
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: