Healthcare Provider Details
I. General information
NPI: 1285685040
Provider Name (Legal Business Name): MARY SUII ZAHAU-LOEHNER RN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/15/2006
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1324 NE WINDSOR DR
LEES SUMMIT MO
64086-8477
US
IV. Provider business mailing address
1324 NE WINDSOR DR
LEES SUMMIT MO
64086-8477
US
V. Phone/Fax
- Phone: 816-944-1944
- Fax: 816-944-1115
- Phone: 816-944-1944
- Fax: 816-944-1115
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 2003003576 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: