Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 110824 | MO |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 53-74999-111 | KS |
NPI | 1235386665 |
---|---|
Provider Name | Lynn Ann Vest |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2008 |
Last Update Date | 10/03/2020 |