Provider Demographics
NPI:1588440093
Name:MEISEIYIEKI, VIOLET (ARNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:VIOLET
Middle Name:
Last Name:MEISEIYIEKI
Suffix:
Gender:F
Credentials:ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:VIOLET
Other - Middle Name:
Other - Last Name:MEISEIYIEKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP, PMHNP-BC
Mailing Address - Street 1:13830 SANTA FE TRAIL DR STE 106
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3381
Mailing Address - Country:US
Mailing Address - Phone:913-453-0290
Mailing Address - Fax:
Practice Address - Street 1:13830 SANTA FE TRAIL DR STE 106
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3381
Practice Address - Country:US
Practice Address - Phone:913-453-0290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2023101854363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health