NPI 1609508886 · live from the CMS NPI Registry
Matthew Longren, RN
Registered Nurse, General Practice in Kansas City, MO. National Provider Identifier 1609508886, active.
NPI record
| NPI | 1609508886 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 4801 E Linwood Blvd, Kansas City, MO 64128 |
| Practice phone | 816-861-4700 |
| Mailing address | 8635 Brome Rd, De Soto, KS 66018 |
| Enumerated | June 27, 2022 |
| Last updated | June 27, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 13101748121 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.