Pastora Leonor Isoba, ARNP-C | |
5721 N Drury Ave, Kansas City, MO 64119-2458 | |
(956) 455-6264 | |
Not Available |
Full Name | Pastora Leonor Isoba |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5721 N Drury Ave, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225662067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F02200888 (Missouri) | Primary |
Entity Name | Truhealth, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20190610001459 |
Mailing Address | Practice Location Address |
---|---|
Pastora Leonor Isoba, ARNP-C 5721 N Drury Ave, Kansas City, MO 64119-2458 Ph: (956) 455-6264 | Pastora Leonor Isoba, ARNP-C 5721 N Drury Ave, Kansas City, MO 64119-2458 Ph: (956) 455-6264 |
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