NPI 1114106804

Susan B Elmore, PCNSAPRN

Practitioner Pediatric Clinical Nurse Specialist Kansas City, MO

Practice location

Address: 3101 Broadway Blvd, Kansas City, MO 64111-2659
Phone: (816) 960-3080
Fax: (816) 960-8046
Mailing address: 2401 Gillham Rd. Provider Enrollment, Kansas City, MO 64108-4619

Registered specialties (3)

Pediatric Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0200X Licence 2018026781 (MO)

Other Clinical Nurse Specialist providers in Missouri →

Pediatric Clinical Nurse Specialist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0200X Licence 78270 (KS)

Pediatric Clinical Nurse Specialist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0200X Licence 83955 (OK)

Registry record

NPI: 1114106804
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2007
Record last updated: 26 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.