NPI 1508297300 · live from the CMS NPI Registry
Aileen Deeter
Registered Nurse, Psych/Mental Health, Adult in Lees Summit, MO. National Provider Identifier 1508297300, active.
NPI record
| NPI | 1508297300 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 901 Ne Independence Ave, Lees Summit, MO 64086 |
| Practice phone | 816-347-3281 |
| Mailing address | 7110 Lackman Rd, Apt 305, Shawnee, KS 66217 |
| Enumerated | December 3, 2013 |
| Last updated | December 3, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 2011035320 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.