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NPI Code Detail

MEDICARE: MRS. LISA A APPLEGATE RN

MEDICARE: MRS. LISA A APPLEGATE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0807XChild & Adolescent Psychiatric/Mental Health Registered NurseRN1465565091KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN1465565091OTHERKSNURSING

General Provider Information

NPI Number : 1205964913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA A APPLEGATE RN
Provider Business Mailing Address
First Line : 11411 E 14TH ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64052-3809
Country : US
Telephone Number : 816-252-1152
Fax Number :
Provider Business Practice Location Address
First Line : 1301 N 47TH ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-1705
Country : US
Telephone Number : 913-563-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 05/31/2026

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Directions to “ MRS. LISA A APPLEGATE RN” Practice Location

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