Healthcare Provider Details

I. General information

NPI: 1780636894
Provider Name (Legal Business Name): RACHEL T DURAND CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 CARONDELET DR SUITE 200
KANSAS CITY MO
64114-4855
US

IV. Provider business mailing address

930 CARONDELET DR SUITE 300
KANSAS CITY MO
64114-4855
US

V. Phone/Fax

Practice location:
  • Phone: 816-941-2700
  • Fax: 816-941-3235
Mailing address:
  • Phone: 816-941-2700
  • Fax: 816-941-3235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberR30982
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: