Provider Demographics
NPI:1245210616
Name:BISSELL, GAIL (RN, ANP, FNP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:BISSELL
Suffix:
Gender:F
Credentials:RN, ANP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17501 E 40 HWY
Mailing Address - Street 2:SUITE 213A
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-5341
Mailing Address - Country:US
Mailing Address - Phone:816-478-4887
Mailing Address - Fax:816-478-7140
Practice Address - Street 1:5330 N OAK TRFY
Practice Address - Street 2:#200
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4625
Practice Address - Country:US
Practice Address - Phone:816-478-4887
Practice Address - Fax:816-459-9003
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORN069805363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOS99593Medicare UPIN
MO418A127AMedicare ID - Type Unspecified