IndividualActive
Carol Dickerson, ARNP
NPI 1568434173 · Gerontology Nurse Practitioner · Overland Park, KS
Provider details
- NPI number
- 1568434173
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- 104716 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11661 College Blvd Ste 100
Overland Park, KS 66210-4104
Phone: (816) 276-6450
Fax: (816) 276-6455
Approximate (ZIP-level) locationGet directions
Mailing address
8301 State Line Rd
Kansas City, MO 64114-2025
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.