Healthcare Provider Details

I. General information

NPI: 1467992057
Provider Name (Legal Business Name): SEEMA RANI SHARMA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2017
Last Update Date: 04/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 PARALLEL PKWY
KANSAS CITY KS
66112-1637
US

IV. Provider business mailing address

36123 SCHOOLCRAFT RD
LIVONIA MI
48150-1216
US

V. Phone/Fax

Practice location:
  • Phone: 913-660-1616
  • Fax:
Mailing address:
  • Phone: 913-660-1616
  • Fax: 913-660-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2017006966
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number77583
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: