OrganizationActive
Envision Healthcare Professional Services LLC
NPI 1174307144 · Point of Service · Olathe, KS
Provider details
- NPI number
- 1174307144
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Abigael Makori-Malinda, Fnp-Bc(913) 548-6129
Specialties & taxonomies
Managed Care Organizations
Practice location
12974 S Widmer St
Olathe, KS 66062-8814
Phone: (913) 548-6129
Approximate (ZIP-level) locationGet directions
Mailing address
12974 S Widmer St
Olathe, KS 66062-8814
Registry dates
- Enumerated
- 2023-08-22
- Last updated
- 2023-08-22
- Certified
- 2023-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.