Individual provider · Type 1 NPI
Sue Ellen Breese, ANP-BC
Adult Health Nurse Practitioner · Kansas City, MO
NPI number
1679757116
Active
Practice location
5950 N. Oak Trfy, Suite 104
Kansas City, MO 64118-5164
Fax (816) 452-5700
Mailing address
5950 N Oak Trfy Ste 104
Kansas City, MO 64118-5164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 14-97852-042 (KS) |
| Registered Nurse | 163W00000X | 2001005022 (MO) |
| Adult Health Nurse Practitioner | 363LA2200X | 53-46184-042 (KS) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2001005022 (MO) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2001005022 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1679757116
Sue Ellen Breese, ANP-BC's National Provider Identifier is 1679757116, issued on Dec 19, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Kansas City, MO. The record was last updated on Apr 19, 2022.