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Theresa Grace Mangler
Family Nurse Practitioner in Lees Summit, Missouri
NPI 1295443943

Theresa Grace Mangler is a Family Nurse Practitioner based in Kansas City, MO and is specialized in Family. Theresa Grace Mangler practices in Lees Summit, MO. The NPI Number for Theresa Grace Mangler is 1295443943 and holds a License No. 2023006144 (Missouri).

The current practice location address for Theresa Grace Mangler is 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO and can be reached out via phone at 816-246-4302 and via fax at 816-246-9493.

Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO, 64111-4223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295443943
Provider Name
Theresa Grace Mangler
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO, 64111-4223
Phone Number
816-246-4302
Fax Number
816-246-9493
Provider Enumeration Date
11/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Ne Saint Lukes Blvd Ste 200
City
Lees Summit
State
Missouri
Zip
64086-6011
Phone Number
816-246-4302
Fax Number
816-246-9493
person
Provider Business Mailing Address Details
Address
120 Ne Saint Lukes Blvd Ste 200
City
Lees Summit
State
Missouri
Zip
64086-6011
Phone Number
816-246-4302
Fax Number
816-246-9493
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2023006144 (Missouri)
Definition
Definition to come...
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