Basic Information
Provider Information
NPI: 1073022059
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRENCH
FirstName: ANGELA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2340 E MEYER BLVD
Address2: BLDG 2 SUITE 546
City: KANSAS CITY
State: MO
PostalCode: 641321105
CountryCode: US
TelephoneNumber: 8169260777
FaxNumber: 8169260707
Practice Location
Address1: 2340 E MEYER BLVD
Address2: BLDG 2 SUITE 546
City: KANSAS CITY
State: MO
PostalCode: 641321105
CountryCode: US
TelephoneNumber: 8169260777
FaxNumber: 8169260707
Other Information
ProviderEnumerationDate: 09/22/2017
LastUpdateDate: 01/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X2017034125MOY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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