Individual provider · Type 1 NPI

Lilly May Havener, NP

Nurse Practitioner · Kansas City, MO

NPI number 1043881543 Active

Practice location

1000 Carondelet Dr Ste 201B
Kansas City, MO 64114-4673

Call (913) 956-2250 Map

Fax (913) 956-2251

Mailing address

201 NW R.d. Mize Rd, Provider Enrollment Suite 210
Blue Springs, MO 64014

Other practice locations

  • 10500 Quivira Rd, Overland Park, KS 66215-2306 · (913) 541-5000
  • 5721 W 119th St, Overland Park, KS 66209-3722 · (913) 498-6000
  • 6509 W 103rd St, Overland Park, KS 66212-1728 · (913) 649-3701
  • 5401 W 143rd St, Leawood, KS 66224-9505 · (913) 249-3600
  • 4700 Indian Creek Pkwy, Overland Park, KS 66207-4068 · (913) 890-8400

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X83-80260-101 (KS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043881543

Lilly May Havener, NP's National Provider Identifier is 1043881543, issued on Jul 6, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kansas City, MO. The record was last updated on Sep 3, 2021.