NPI 1629015029 · live from the CMS NPI Registry
Eileen Calabria, CPNP
Nurse Practitioner, Pediatrics in Kansas City, MO. National Provider Identifier 1629015029, active.
NPI record
| NPI | 1629015029 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 3101 Broadway Blvd Fl 2, Kansas City, MO 64111 |
| Practice phone | 816-960-3090 |
| Mailing address | 2401 Gillham Rd., Provider Enrollment, Kansas City, MO 64108 |
| Enumerated | June 2, 2006 |
| Last updated | October 30, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2000144402 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.