Provider Demographics
NPI:1790087922
Name:VERBENEC, SHIRLEY A (RN, ANP)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:A
Last Name:VERBENEC
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:SHIRLEY
Other - Middle Name:A
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4000 CAMBRIDGE, G600
Mailing Address - Street 2:MAILSTOP 4023
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-5000
Mailing Address - Fax:
Practice Address - Street 1:4000 CAMBRIDGE, G600
Practice Address - Street 2:MAILSTOP 4023
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO148051163W00000X
MO2010028162363LA2200X
KS75119363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse