Individual provider · Type 1 NPI

Courtney O. Range

Critical Care Pediatric Nurse Practitioner · Kansas City, MO

NPI number 1477436152 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Mailing address

621 SE Shiloh Dr
Lees Summit, MO 64063-1037

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X2025032047 (MO)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1477436152

Courtney O. Range's National Provider Identifier is 1477436152, issued on Jul 29, 2025. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Kansas City, MO. The record was last updated on Jul 29, 2025.