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NPI Code Detail

MEDICARE: ETHAN THOMAS HAMPTON MSN,RN,FNP-BC

MEDICARE: ETHAN THOMAS HAMPTON MSN,RN,FNP-BC
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
1363L00000XNurse Practitioner53-78523KS
2363L00000XNurse Practitioner2013027911MO

General Provider Information

NPI Number : 1437582160
Entity Type Code : Individual
Provider Name (Legal Business Name) : ETHAN THOMAS HAMPTON MSN,RN,FNP-BC
Provider Business Mailing Address
First Line : 2700 CLAY EDWARDS DR
Second Line : SUITE 240
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3251
Country : US
Telephone Number : 816-691-5287
Fax Number : 816-346-7690
Provider Business Practice Location Address
First Line : 5400 N OAK TRFY STE 200
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4690
Country : US
Telephone Number : 816-453-0900
Fax Number : 816-453-3895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2013
Last Update Date : 05/16/2025

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