Provider Demographics
NPI:1619372919
Name:RICHARDSON, GENEA M (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:GENEA
Middle Name:M
Last Name:RICHARDSON
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Gender:F
Credentials:MSN, FNP
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Other - First Name:
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Mailing Address - Street 1:8717 W 110TH ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2144
Mailing Address - Country:US
Mailing Address - Phone:913-428-2900
Mailing Address - Fax:913-428-2951
Practice Address - Street 1:4911 S ARROWHEAD DR
Practice Address - Street 2:SUITE 300
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-7005
Practice Address - Country:US
Practice Address - Phone:816-795-6880
Practice Address - Fax:816-795-5980
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2014031126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily