MEDICARE: MRS. ELIZABETH ANN GODSEY REGISTERED NURSE

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	163WX0800X	Orthopedic Registered Nurse	124588	MO

General Provider Information

NPI Number	:	1902925027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH ANN GODSEY REGISTERED NURSE

Provider Business Mailing Address
First Line	:	602 S SUNSET LN
Second Line	:
City	:	RAYMORE
State	:	MO
Zip	:	64083-8499
Country	:	US
Telephone Number	:	816-331-2962
Fax Number	:

Provider Business Practice Location Address
First Line	:	15431 ANDREWS RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64147-1221
Country	:	US
Telephone Number	:	816-843-3669
Fax Number	:

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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