IndividualActive
Courtney Codilla
NPI 1013749076 · Critical Care Neonatal Nurse Practitioner · Kansas City, MO
Provider details
- NPI number
- 1013749076
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2024032794 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Approximate (ZIP-level) locationGet directions
Mailing address
1063 Sw Conch Cir
Lees Summit, MO 64064-8007
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.