Provider Demographics
NPI:1063097616
Name:FLANDERMEYER, SUMMER BRIANNE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SUMMER
Middle Name:BRIANNE
Last Name:FLANDERMEYER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1576 BERNADINE DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-1491
Mailing Address - Country:US
Mailing Address - Phone:816-739-6161
Mailing Address - Fax:
Practice Address - Street 1:2901 ROCK CREEK PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64117-2536
Practice Address - Country:US
Practice Address - Phone:816-201-2273
Practice Address - Fax:816-448-0020
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020042410363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily