Provider Demographics
NPI:1437631736
Name:DOANE, REBECCA E (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:E
Last Name:DOANE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:MORENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST # MS 400S
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4517
Mailing Address - Country:US
Mailing Address - Phone:816-880-2675
Mailing Address - Fax:816-880-2681
Practice Address - Street 1:5844 NW BARRY RD STE 340
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-1402
Practice Address - Country:US
Practice Address - Phone:816-880-2675
Practice Address - Fax:816-880-2681
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5378369363LF0000X
MO2018030072363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily