Provider Demographics
NPI:1942759444
Name:BARELA, ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:BARELA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4370 W 109TH ST STE 350
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1370
Mailing Address - Country:US
Mailing Address - Phone:816-941-0800
Mailing Address - Fax:
Practice Address - Street 1:104 NW STATE ROUTE 7
Practice Address - Street 2:SUITE B
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2726
Practice Address - Country:US
Practice Address - Phone:816-229-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-25
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016034604363LF0000X
KS53-77406-071363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily