Provider Demographics
NPI:1306852017
Name:QUIASON, NORA T (MD)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:T
Last Name:QUIASON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:E
Other - Last Name:TUY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4709 N HOLLY CT
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-4646
Mailing Address - Country:US
Mailing Address - Phone:816-210-9657
Mailing Address - Fax:816-587-8190
Practice Address - Street 1:4709 N HOLLY CT
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-4646
Practice Address - Country:US
Practice Address - Phone:816-210-9657
Practice Address - Fax:816-587-8190
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2012-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO342912084P0800X, 2084P0802X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208994707Medicaid
MO34291OtherMD
MO208994707Medicaid