Basic Information
Provider Information
NPI: 1992984868
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: O'REILLY
FirstName: DONNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 901 E 104TH ST
Address2: MAILSTOP 400
City: KANSAS CITY
State: MO
PostalCode: 64131
CountryCode: US
TelephoneNumber: 8165028755
FaxNumber: 8169329670
Practice Location
Address1: 4321 WASHINGTON ST
Address2: SUITE 1000
City: KANSAS CITY
State: MO
PostalCode: 641115961
CountryCode: US
TelephoneNumber: 8169324549
FaxNumber: 8169329865
Other Information
ProviderEnumerationDate: 10/29/2007
LastUpdateDate: 11/20/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X069879MOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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