IndividualActive
Courtney Krusemark, RN
NPI 1073395349 · General Practice Registered Nurse · Lees Summit, MO
Provider details
- NPI number
- 1073395349
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 2005018854 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
2802 Sw 11th St
Lees Summit, MO 64081-3747
Phone: (303) 815-8096
Approximate (ZIP-level) locationGet directions
Mailing address
2802 Sw 11th St
Lees Summit, MO 64081-3747
Registry dates
- Enumerated
- 2023-10-19
- Last updated
- 2023-10-19
- Certified
- 2023-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.