Individual provider · Type 1 NPI
Tina Marie Legault, AGNP
Adult Health Nurse Practitioner · Overland Park, KS
NPI number
1417602707
Active
Practice location
12330 Metcalf Ave Ste 580
Overland Park, KS 66213-1308
Mailing address
901 E 104th St, Mailstop 400S
Kansas City, MO 64131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2022007298 (MO) |
| Adult Health Nurse Practitioner | 363LA2200X | TMP-160593 (KS) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 5380970 (KS) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1417602707
Tina Marie Legault, AGNP's National Provider Identifier is 1417602707, issued on Feb 16, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Overland Park, KS. The record was last updated on Apr 21, 2022.