Santina Dianne Brown, MPHNP
Santina Dianne Brown, MPHNP is a Nurse Practitioner in Raytown, Missouri. Qualified in 2025, 1 year ago. Practices with Ketamine and IV Therapy Clinic of Nwa LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 1
- Licensed in
- MO
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
7001 Blue Ridge BlvdRaytown, MO 64133-5629
Phone: (816) 347-3029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 2025045753 (MO) |
|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0809X · Licence 2019015755 (MO) |
Record details
| NPI number | 1558193573 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MPHNP |
| Sole proprietor | Yes |
| NPI enumerated | August 19, 2024 |
| Last updated in NPPES | February 2, 2026 |
| Certification date | February 2, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Ketamine And Iv Therapy Clinic Of Nwa Llc — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |