Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 2018036937 | MO |
NPI | 1013483031 |
---|---|
Provider Name | Elizabeth Blanchard Hills |
First Address | Kansas City, MO 64124-2323 |
Second Address | Kansas City, MO 64124-2323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2018 |
Last Update Date | 28/01/2020 |