IndividualActive
Cody Sunderland
NPI 1801697412 · Nurse Practitioner · Shawnee Mission, KS
Provider details
- NPI number
- 1801697412
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 53-84172-111 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone: (913) 676-2214
Approximate (ZIP-level) locationGet directions
Mailing address
17657 Haskins
Overland Park, KS 66013-4536
Registry dates
- Enumerated
- 2025-03-20
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.