Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | NNP 118354 | MO |
NPI | 1053359091 |
---|---|
Provider Name | Dawn Viets |
First Address | Kansas City, MO 64132-1136 |
Second Address | Kansas City, MO 64132-1136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 09/07/2007 |