Provider Demographics
NPI:1871351817
Name:NEDS, ANNALEE (FNP-C)
Entity type:Individual
Prefix:
First Name:ANNALEE
Middle Name:
Last Name:NEDS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:NEDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 741331
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-1331
Mailing Address - Country:US
Mailing Address - Phone:913-469-0503
Mailing Address - Fax:913-338-1311
Practice Address - Street 1:15101 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:STANLEY
Practice Address - State:KS
Practice Address - Zip Code:66223-3154
Practice Address - Country:US
Practice Address - Phone:913-681-9966
Practice Address - Fax:913-338-1311
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-159236-052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily