Healthcare Provider Details

I. General information

NPI: 1831973056
Provider Name (Legal Business Name): AISHA PAKI USMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023
Certification Date: 08/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12443 ENGLAND ST
OVERLAND PARK KS
66213-4730
US

IV. Provider business mailing address

12443 ENGLAND ST
OVERLAND PARK KS
66213-4730
US

V. Phone/Fax

Practice location:
  • Phone: 913-244-1161
  • Fax:
Mailing address:
  • Phone: 913-244-1161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-81770-051
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: