MEDICARE: ERIKA L HOVEY NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	5380441	KS
2	363LF0000X	Family Nurse Practitioner	2021031969	MO

General Provider Information

NPI Number	:	1578233391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA L HOVEY NP-C

Provider Business Mailing Address
First Line	:	901 E 104TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4517
Country	:	US
Telephone Number	:	913-491-9100
Fax Number	:	913-491-9135

Provider Business Practice Location Address
First Line	:	4321 WASHINGTON ST STE 5100
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-5933
Country	:	US
Telephone Number	:	913-491-9100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2021
Last Update Date	:	10/21/2021

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