Healthcare Provider Details

I. General information

NPI: 1841135084
Provider Name (Legal Business Name): HAWO ABUKAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 N 7 HWY
BLUE SPRINGS MO
64014-1936
US

IV. Provider business mailing address

1108 NW 107TH ST
KANSAS CITY MO
64155-1615
US

V. Phone/Fax

Practice location:
  • Phone: 816-228-6848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2026000471
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: