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1871165860
MICHELLE RENEE MIX
LEES SUMMIT, MO
NPI
1871165860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: MO 2021026754)
Enumeration Date
2021-07-11
Last Update Date
2021-07-11
Business Address
MICHELLE RENEE MIX AGACNP-BC
100 NE SAINT LUKES BLVD
LEES SUMMIT, MO 64086-6000
Phone number: 816-347-5000
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Mailing Address
MICHELLE RENEE MIX AGACNP-BC
4724 NE SARATOGA CT
LEES SUMMIT, MO 64064-2110
Phone number: 816-716-3938
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