-- LISA MARIE WEDEL -- APRN, CPNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1194165209- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN, CPNP
- Status
- Active
Contact & Location
- Address
- 2401 GILLHAM RD, KANSAS CITY, MO, 641084619
- Phone
- (816) 802-1262
- Fax
- (816) 983-6885
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: MO #2013021217
Nurse Practitioner, Pediatrics
License: KS #53-76026-081