Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 122257 | MO |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 45264 | KS |
NPI | 1104975853 |
---|---|
Provider Name | Christi S Squier |
First Address | Overland Park, KS 66223-3082 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |