Provider Demographics
NPI:1982497350
Name:NOLTE, BRETT A (APRN-C)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:A
Last Name:NOLTE
Suffix:
Gender:M
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3406 BROADWAY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2767
Mailing Address - Country:US
Mailing Address - Phone:816-756-5839
Mailing Address - Fax:816-756-5874
Practice Address - Street 1:3406 BROADWAY BLVD STE B
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2767
Practice Address - Country:US
Practice Address - Phone:816-756-5839
Practice Address - Fax:816-756-5874
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025018548363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health