Healthcare Provider Details
I. General information
NPI: 1275611410
Provider Name (Legal Business Name): PATRICIA LYNN WALSH RN, ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/02/2006
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20 NE SAINT LUKES BLVD STE 200
LEES SUMMIT MO
64086-6001
US
IV. Provider business mailing address
20 NE SAINT LUKES BLVD STE 200
LEES SUMMIT MO
64086-6001
US
V. Phone/Fax
- Phone: 816-347-5100
- Fax: 816-347-5136
- Phone: 816-347-5100
- Fax: 816-347-5136
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SA2200X |
| Taxonomy | Adult Health Clinical Nurse Specialist |
| License Number | 53-74769 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SA2200X |
| Taxonomy | Adult Health Clinical Nurse Specialist |
| License Number | 100913 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: