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Contact Information

NICOLE S DEISTER, RN
4524 N OLIVE ST
KANSAS CITY, MO64116-2012
 Phone: 303-519-9935
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health & Wellness Coach

171400000X
 

Health Educator

174H00000X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for NICOLE S DEISTER · (Female)

NPI # 1508445099
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/03/2021
Last updated 04/03/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2019045915
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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