Healthcare Provider Details

I. General information

NPI: 1780301895
Provider Name (Legal Business Name): EMILY HUXFORD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 WORNALL RD STE 208
KANSAS CITY MO
64111-5964
US

IV. Provider business mailing address

4320 WORNALL RD STE 208
KANSAS CITY MO
64111-5964
US

V. Phone/Fax

Practice location:
  • Phone: 816-531-0552
  • Fax: 816-756-2503
Mailing address:
  • Phone: 816-531-0552
  • Fax: 816-756-2503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2022041641
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: