MEDICARE: GAIL HUGHLEY APRN

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
1	363LF0000X	Family Nurse Practitioner	2014031716	MO

General Provider Information

NPI Number	:	1356733703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL HUGHLEY APRN

Provider Business Mailing Address
First Line	:	5130 EASTERN AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64129-2422
Country	:	US
Telephone Number	:	816-923-5202
Fax Number	:

Provider Business Practice Location Address
First Line	:	4990 NE VIVION RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-2935
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2015
Last Update Date	:	02/23/2015

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Directions to “ GAIL HUGHLEY APRN” Practice Location

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