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NPI Code Detail

MEDICARE: PRISCILLIA ADAUGO OBASI FNP

MEDICARE: PRISCILLIA ADAUGO OBASI FNP
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
1363LF0000XFamily Nurse Practitioner2018041864MO

General Provider Information

NPI Number : 1225598170
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLIA ADAUGO OBASI FNP
Provider Business Mailing Address
First Line : 6807 E 144TH PL
Second Line :
City : GRANDVIEW
State : MO
Zip : 64030-4140
Country : US
Telephone Number : 816-878-1893
Fax Number :
Provider Business Practice Location Address
First Line : 315 W 75TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-5738
Country : US
Telephone Number : 816-361-4668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2019
Last Update Date : 12/29/2021

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