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NPI Code Detail

MEDICARE: EDNA HAMERA NP

MEDICARE: EDNA HAMERA NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner74082KS

General Provider Information

NPI Number : 1356423099
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDNA HAMERA NP
Provider Business Mailing Address
First Line : 7010 BELINDER AVE
Second Line :
City : MISSION HILLS
State : KS
Zip : 66208-2762
Country : US
Telephone Number : 913-677-4571
Fax Number :
Provider Business Practice Location Address
First Line : 7840 WASHINGTON AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-2152
Country : US
Telephone Number : 913-328-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 12/20/2012

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