Pilar Conley

Individual provider Active NPI Licensed Practical Nurse · Raymore, MO

NPI 1821442096 · NPPES record last updated Apr 14, 2016

Key facts

NPI
1821442096
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2010006055 (MO)
Practice address
1010 Remington PLZ
Raymore, MO 64083-8640
Phone
(816) 318-4430
Fax
(816) 322-5445
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2010006055MOMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2010006055 MO Yes

Addresses

Primary practice location

1010 Remington PLZ
Raymore, MO 64083-8640

Mailing address

1010 Remington PLZ
Raymore, MO 64083-8640
Phone (816) 318-4430

Other providers in Raymore, MO

All providers in Raymore, MO · Licensed Practical Nurse in Missouri

Sources for this page

Verify at the official NPI Registry.