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NPI Code Detail

MEDICARE: TYRA MARY CHANEY APRN-CNM

MEDICARE: TYRA MARY CHANEY APRN-CNM
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
1367A00000XAdvanced Practice Midwife

General Provider Information

NPI Number : 1700570322
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYRA MARY CHANEY APRN-CNM
Provider Business Mailing Address
First Line : 3901 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8501
Country : US
Telephone Number : 913-588-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2023
Last Update Date : 04/20/2026

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