Provider Demographics
NPI:1568461457
Name:LOUISON, ANITA MARY (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:MARY
Last Name:LOUISON
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3801 BLUE PKWY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-2807
Mailing Address - Country:US
Mailing Address - Phone:816-923-5800
Mailing Address - Fax:816-922-7637
Practice Address - Street 1:3801 BLUE PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130-2807
Practice Address - Country:US
Practice Address - Phone:816-923-5800
Practice Address - Fax:816-922-7637
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2013-12-03
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Provider Licenses
StateLicense IDTaxonomies
MO102438363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical