Shannon Dale Burchett
Nurse Practitioner, Family in North Kansas City, MO. Individual provider (NPI-1).
NPI number1619708633
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1619708633
- Entity type
- Individual (NPI-1)
- Name
- Shannon Dale Burchett
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2024
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2024009618 | MO | Yes |
Other names
- Shannon Dale Auxier (Former Name)
Practice location
1950 Diamond PkwyNorth Kansas City, MO 64116-4328
Phone 816-842-6717 · Fax 816-842-2574
Mailing address
2529 Glenn Hendren Dr Ste 202Liberty, MO 64068-9602
Phone 816-781-8400 · Fax 816-781-8263
Other practice locations
2529 Glenn Hendren Dr Ste 202
Liberty, MO 64068-9602
Liberty, MO 64068-9602
Phone 816-781-8400 · Fax 816-781-8263
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