Doctor Name: | CARRIE L ENGLERT |
NPI Number: | 1013002542 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-C, AOCNP |
License Number: | 2004012535 |
Business Practice Address: | 12200 W 110th St Overland Park, KS - 662104045 |
Business Phone Number: | 9132340400 |
Business Fax Number: | 9132340551 |
Mailing Address: | 9200 Indian Creek Pkwy, Bldg. 9, Ste. 300 OVERLAND PARK |
State: | KS |
Postal Code: | 662102002 |
Phone Number: | 9135414600 |
Fax Number: | 9135414692 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2004012535 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |