Most Relevant Information
Provider Data
NPI Number: | 1003414020 |
Provider Name: | SCARLETT WOHLLEBER |
Entity Type: | Individual |
Taxonomy Code: | 363LA2100X |
Specialty: | Nurse Practitioner |
License Number: | 53-79776-091 |
Most Important Dates
Enumeration Date: | 10/12/2020 |
Last Updated: | 06/07/2023 |
Provider Practice Location
4321 WASHINGTON ST STE 3000
KANSAS CITY
MO
641115928
Practice Location Phone/Fax
Phone: | 8169323100 |
Fax: |
Provider Mailing Location
590 NW 1751ST RD
KINGSVILLE
MO
640619169
Provider Mailing Phone/Fax
Phone: | |
Fax: |