IndividualActive
Andrea Mackay
NPI 1063908846 · Pediatric Nurse Practitioner · Kansas City, MO
Provider details
- NPI number
- 1063908846
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2018023496 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4400 Broadway Ste 206
Kansas City, MO 64111-3342
Phone: (816) 561-8100
Fax: (816) 561-8154
Approximate (ZIP-level) locationGet directions
Mailing address
4400 Broadway Ste 206
Kansas City, MO 64111-3342
Registry dates
- Enumerated
- 2018-07-05
- Last updated
- 2018-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.