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NPI Code Detail

MEDICARE: MARIA A FERRELL APRN, BC-PCM

MEDICARE: MARIA A FERRELL APRN, BC-PCM
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
1363LA2200XAdult Health Nurse Practitioner53-76688KS
2363LA2200XAdult Health Nurse Practitioner2014039089MO

General Provider Information

NPI Number : 1104878529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA A FERRELL APRN, BC-PCM
Provider Business Mailing Address
First Line : 9001 STATE LINE RD # 300
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-3232
Country : US
Telephone Number : 816-363-2600
Fax Number : 816-523-0068
Provider Business Practice Location Address
First Line : 9001 STATE LINE RD # 300
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-3232
Country : US
Telephone Number : 816-363-2600
Fax Number : 816-523-0068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 08/19/2022

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