TINA LANE, FNP

Nurse Practitioner

Active Individual
NPI: 1104470772

Practice Address

400 SW LONGVIEW BLVD STE 200
Lees Summit, MO 64081

Phone: (913) 215-5008

Specialties

Specialty Code Primary License
Registered Nurse - Emergency 163WE0003X No 135267 (MO)
Nurse Practitioner - Family 363LF0000X No 2019043201 (MO)
Nurse Practitioner 363L00000X Yes 2019043201 (MO)

Frequently Asked Questions

NPI 1104470772 is the National Provider Identifier for TINA LANE, FNP, a Nurse Practitioner provider located in Lees Summit, MO. This NPI was enumerated on July 31, 2019.
TINA LANE, FNP practices at 400 SW LONGVIEW BLVD STE 200, Lees Summit, MO 64081.

Quick Facts

NPI
1104470772
Type
Individual
Enumerated
Jul 31, 2019
Last Updated
Oct 25, 2021

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