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NPI 1215599030

NPI 1215599030 : LINDSEY MICHELLE NITCHALS FNP-BC : INDEPENDENCE, MO

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General NPI Number Information
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    NPI Number           |    1215599030
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY MICHELLE NITCHALS FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/01/2019
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    4000 CAMBRIDGE ST 
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    City                 |    INDEPENDENCE
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    State                |    MO
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    Zip                  |    64057-2358
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    Country              |    US
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    Telephone            |    816-932-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15310 W 78TH TER 
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    City                 |    SHAWNEE
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    State                |    KS
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    Zip                  |    66217-9615
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    Country              |    US
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    Telephone            |    913-219-8009
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    119274
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    78740
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    License Number State |    KS
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    53-78740-082
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    License Number State |    KS
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