Provider Demographics
NPI:1477890986
Name:MCNEAL, SHALAYA LITONYA (NP)
Entity Type:Individual
Prefix:MRS
First Name:SHALAYA
Middle Name:LITONYA
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:SHAY
Other - Middle Name:L
Other - Last Name:MCNEAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:13340 HOLMES RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64145-1437
Mailing Address - Country:US
Mailing Address - Phone:816-786-7074
Mailing Address - Fax:
Practice Address - Street 1:13340 HOLMES RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64145-1437
Practice Address - Country:US
Practice Address - Phone:816-786-7074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010042369363LA2200X
KS14-114906-051363LA2200X
KS75954363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health