Breese, Sue Ellen

Breese, Sue Ellen is an individual health care provider with primary practice located at 5950 N. Oak Trfy Suite 104, Kansas City MO 64118-5164. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Breese, Sue Ellen can be contacted via phone (816) 268-8501.

Contact Information

Primary practice address
5950 N. Oak Trfy Suite 104 Kansas City MO 64118-5164
Phone: (816) 268-8501
Fax: (816) 452-5700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 14-97852-042 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 2001005022 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 53-46184-042 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2001005022 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2001005022 Missouri

Profile Details

NPI number 1679757116
LBN Legal business name Breese, Sue Ellen
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2007
Last updated Apr 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679757116 NPPES
Missouri MEDICAID 1679757116
Missouri MEDICAID 200633510B

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