Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 2020001358 | MO |
N | 363LA2100X | Nurse Practitioner - Acute Care | 2020001358 | MO |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 2020001358 | MO |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 2020001358 | MO |
NPI | 1063043297 |
---|---|
Provider Name | Bemis Mwaura |
First Address | Mission, KS 66202-4626 |
Second Address | Mission, KS 66202-4626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2020 |
Last Update Date | 27/01/2020 |