Individual provider · Type 1 NPI

Coreen Bisel

Pediatric Nurse Practitioner · Kansas City, MO

NPI number 1073055463 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Other practice locations

  • 20920 W 151st St, Suite 100, Olathe, KS 66061-7247 · (913) 782-1148
  • 10730 Nall Ave Ste 200, Overland Park, KS 66211-1285 · (913) 588-1227
  • 4000 Cambridge St, Kansas City, KS 66160-7247 · (913) 588-1227

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2017040765 (MO)
Nurse Practitioner 363L00000X77500 (KS)
Pediatric Nurse Practitioner 363LP0200X77500 (KS)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1073055463

Coreen Bisel's National Provider Identifier is 1073055463, issued on Nov 16, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Jun 24, 2026.