Provider Demographics
NPI:1861271025
Name:NORWOOD, VANESSA LYNN (APRN)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:LYNN
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8071 N DENVER AVE APT 410
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-1062
Mailing Address - Country:US
Mailing Address - Phone:785-512-9245
Mailing Address - Fax:
Practice Address - Street 1:10550 MARTY ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2557
Practice Address - Country:US
Practice Address - Phone:913-341-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023039211363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology