Provider Demographics
NPI:1093943383
Name:GALIMBA, MICHAELA L (CNM)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:L
Last Name:GALIMBA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MICHAELA
Other - Middle Name:L
Other - Last Name:DAUGHERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10550 QUIVIRA RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2306
Mailing Address - Country:US
Mailing Address - Phone:913-541-0990
Mailing Address - Fax:913-541-1452
Practice Address - Street 1:10550 QUIVIRA RD
Practice Address - Street 2:SUITE 410
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2306
Practice Address - Country:US
Practice Address - Phone:913-541-0990
Practice Address - Fax:913-541-1452
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS75945363L00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201073380AMedicaid
KSA22000010OtherMEDICARE