Ashley Nietfeld
Nurse Practitioner, Pediatrics in Kansas City, MO. Individual provider (NPI-1).
NPI number1073376596
StatusActive
Last updated in NPPESFeb 6, 2024
Details
- NPI
- 1073376596
- Entity type
- Individual (NPI-1)
- Name
- Ashley Nietfeld
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2024
- Certification date
- Feb 6, 2024
- Last updated
- Feb 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 2023046972 | MO | Yes |
Practice location
2401 Gillham RdKansas City, MO 64108-4619
Phone 816-234-3000
Mailing address
2401 Gillham RdAttn: Provider Enrollment Department
Kansas City, MO 64108-4619
Phone 816-701-5200 · Fax 816-302-9939
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