MEDICARE: CELESTE M MCGLAMERY APRN

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	363L00000X	Nurse Practitioner	53-77270-022	KS

General Provider Information

NPI Number	:	1326574138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELESTE M MCGLAMERY APRN

Provider Business Mailing Address
First Line	:	4000 CAMBRIDGE ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8501
Country	:	US
Telephone Number	:	139-588-1227
Fax Number	:

Provider Business Practice Location Address
First Line	:	20375 W 151ST ST STE 350
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-7209
Country	:	US
Telephone Number	:	913-588-1227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	08/21/2024

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