MEDICARE: SPECIALTY HEALTHCARE SERVICES

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
1	363LF0000X	Family Nurse Practitioner	089515	MO

General Provider Information

NPI Number	:	1285925420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALTY HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	8228 NW WAUKOMIS DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-1038
Country	:	US
Telephone Number	:	816-838-9923
Fax Number	:

Provider Business Practice Location Address
First Line	:	8228 NW WAUKOMIS DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-1038
Country	:	US
Telephone Number	:	816-838-9923
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JULIE ANN BEARCE
Credential	:	ARNP
Telephone Number	:	816-838-9923

Provider Enumeration Date	:	04/21/2011
Last Update Date	:	04/21/2011

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Directions to “SPECIALTY HEALTHCARE SERVICES ” Practice Location

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