Provider Demographics
NPI:1306896675
Name:MCDANELD, ANN R (ARNP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:R
Last Name:MCDANELD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 SPRINT PKWY
Mailing Address - Street 2:MAILSTOP KSOPHG0201
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66251-6107
Mailing Address - Country:US
Mailing Address - Phone:913-315-6432
Mailing Address - Fax:
Practice Address - Street 1:6400 SPRINT PKWY
Practice Address - Street 2:MAILSTOP KSOPHG0201
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66251-6107
Practice Address - Country:US
Practice Address - Phone:913-315-6432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45013363L00000X
MO123237363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner