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NPI Code Detail

MEDICARE: MISS ANNA REBECCA MCCOWN A.R.N.P.

MEDICARE: MISS ANNA REBECCA MCCOWN A.R.N.P.
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 Practitioner2011019323MO
2363LF0000XFamily Nurse Practitioner53-75511-031KS

General Provider Information

NPI Number : 1508144379
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANNA REBECCA MCCOWN A.R.N.P.
Provider Business Mailing Address
First Line : 12600 NORWOOD RD
Second Line :
City : LEAWOOD
State : KS
Zip : 66209-1266
Country : US
Telephone Number : 913-327-7348
Fax Number :
Provider Business Practice Location Address
First Line : 7501 METCALF AVE
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66204-2927
Country : US
Telephone Number : 913-752-7139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2011
Last Update Date : 04/05/2013

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