| NPI | 1285433656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA LYNN BURDOLSKI Medical Director 913-368-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |