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Mikala Marie Lodder, AG-ACNP
Acute Care Nurse Practitioner in Kansas City, Missouri
NPI 1811443070

Mikala Marie Lodder is an Acute Care Nurse Practitioner based in Overland Park, MO and is specialized in Acute Care. Mikala Marie Lodder practices in Kansas City, MO and has the professional credentials of AG-ACNP. The NPI Number for Mikala Marie Lodder is 1811443070 and holds a License No. 53-77352-121 (Missouri).

The current practice location address for Mikala Marie Lodder is 8700 N Green Hills Rd, Kansas City, MO and can be reached out via phone at 913-574-2520 and via fax at 913-574-2612.

Location: 8700 N Green Hills Rd, Kansas City, MO, 66210-2008
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Provider Profile Details
NPI Number
1811443070
Provider Name
Mikala Marie Lodder
Credential
AG-ACNP
Provider Entity Type
Individual
Gender
Female
Address
8700 N Green Hills Rd, Kansas City, MO, 66210-2008
Phone Number
913-574-2520
Fax Number
913-574-2612
Provider Enumeration Date
08/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201154160B 05 KS
1811443070 05 MO
institution
Provider Business Practice Location Address Details
Address
8700 N Green Hills Rd
City
State
Zip
64154-1910
Phone Number
913-574-2520
Fax Number
913-574-2612
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Provider Business Mailing Address Details
Address
8700 N Green Hills Rd
City
State
Zip
64154-1910
Phone Number
913-574-2520
Fax Number
913-574-2612
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
53-77352-121 (Kansas)
Definition
Definition to come...
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