Tina Nichole Lane, FNP
NPI #1104470772 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1104470772
- Entity Type
- Individual
- Name
- Tina Nichole Lane, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- Jul 31, 2019
- Last Updated
- Oct 25, 2021
Practice Location
- Address
- 400 SW LONGVIEW BLVD STE 200
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64081-2116
- Phone
- (913) 215-5008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Emergency — Emergency |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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