Individual provider · NPI-1

Shannon Benvenuti, CPNP

Nurse Practitioner, Pediatrics · Overland Park, KS

NPI number1033892153

StatusActive

Last updated in NPPESSep 19, 2023

Details

NPI: 1033892153
Entity type: Individual (NPI-1)
Name: Shannon Benvenuti
Credential: CPNP
Sex: Female
Sole proprietor: No
Enumeration date: Aug 8, 2023
Certification date: Sep 19, 2023
Last updated: Sep 19, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0200X	Nurse Practitioner, Pediatrics	53-82419-042	KS	Yes

Practice location

5808 W 110th St
Overland Park, KS 66211-2504

Phone 913-696-8000

Mailing address

2401 Gillham Rd
Kansas City, MO 64108-4619

Phone 816-701-5200 · Fax 816-302-9939

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