| NPI | 1205072048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLENE MARIE BREEN Nurse Practitioner 913-248-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 46287) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |