Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 2011010077 | MO |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5346037101 | KS |
NPI | 1104126028 |
---|---|
Provider Name | Elizabeth Ashley Schump |
First Address | Overland Park, KS 66215-2306 |
Second Address | Overland Park, KS 66215-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2010 |
Last Update Date | 02/08/2012 |