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NPI Code Detail

MEDICARE: CHRISTINE ANN MUSGROVE APRN, PMHNP-BC

MEDICARE: CHRISTINE ANN MUSGROVE APRN, PMHNP-BC
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
1363LF0000XFamily Nurse Practitioner53-76016-041KS
2363LP0808XPsychiatric/Mental Health Nurse Practitioner76016KS

General Provider Information

NPI Number : 1285068684
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE ANN MUSGROVE APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 21350 W 153RD ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-5413
Country : US
Telephone Number : 913-322-4950
Fax Number :
Provider Business Practice Location Address
First Line : 4300 BRENNER DR
Second Line :
City : KANSAS CITY
State : KS
Zip : 66104-1163
Country : US
Telephone Number : 913-334-0294
Fax Number : 913-825-6481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2013
Last Update Date : 08/04/2020

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