Basic Information
Provider Information
NPI: 1013561687
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAYLOR
FirstName: MARGARET
MiddleName: EMILY
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4400 BROADWAY BLVD STE 520
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641113342
CountryCode: US
TelephoneNumber: 8169607601
FaxNumber: 8169607699
Practice Location
Address1: 4400 BROADWAY BLVD STE 520
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641113342
CountryCode: US
TelephoneNumber: 8169607601
FaxNumber: 8169607699
Other Information
ProviderEnumerationDate: 07/31/2019
LastUpdateDate: 03/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X2015032860MON Nursing Service ProvidersRegistered Nurse 
363LF0000X2019040426MOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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