Provider Demographics
NPI:1194530717
Name:KONOPASEK-MORRIS, ANN MICHELLE (RN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MICHELLE
Last Name:KONOPASEK-MORRIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MICHELLE
Other - Last Name:WYMORE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:12 ANCHOR DR
Mailing Address - Street 2:
Mailing Address - City:LAKE TAPWINGO
Mailing Address - State:MO
Mailing Address - Zip Code:64015-9695
Mailing Address - Country:US
Mailing Address - Phone:816-309-0505
Mailing Address - Fax:
Practice Address - Street 1:4801 E LINWOOD BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-2226
Practice Address - Country:US
Practice Address - Phone:816-861-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011023603163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse