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NPI Code Detail

MEDICARE: MS. DARCIE MARIE AL-HASSAN CPNP, AC, PC

MEDICARE: MS. DARCIE MARIE AL-HASSAN CPNP, AC, PC
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
1363LP0222XCritical Care Pediatric Nurse Practitioner75984KS
2363LP0222XCritical Care Pediatric Nurse Practitioner2013020030MO

General Provider Information

NPI Number : 1447690680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DARCIE MARIE AL-HASSAN CPNP, AC, PC
Provider Business Mailing Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-234-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-234-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2013
Last Update Date : 04/10/2015

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