Individual provider · Type 1 NPI

Lisa Marie Wedel, APRN, CPNP

Pediatric Nurse Practitioner · Kansas City, MO

NPI number 1194165209 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Call (816) 802-1262 Map

Fax (816) 983-6885

Mailing address

6565 Lowell Dr
Merriam, KS 66202-3718

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	2013021217 (MO)
Pediatric Nurse Practitioner	363LP0200X	53-76026-081 (KS)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1194165209

Lisa Marie Wedel, APRN, CPNP's National Provider Identifier is 1194165209, issued on Jul 3, 2013. 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 May 22, 2015.