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NPI Code Detail

MEDICARE: FOUZIA MAHMOOD FNP-C

MEDICARE: FOUZIA MAHMOOD FNP-C
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 Practitioner2020034605MO
2363LF0000XFamily Nurse Practitioner53-79781-052KS

General Provider Information

NPI Number : 1558967604
Entity Type Code : Individual
Provider Name (Legal Business Name) : FOUZIA MAHMOOD FNP-C
Provider Business Mailing Address
First Line : 500 NE BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2879
Country : US
Telephone Number : 816-932-5100
Fax Number :
Provider Business Practice Location Address
First Line : 500 NE BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2879
Country : US
Telephone Number : 816-932-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2020
Last Update Date : 02/04/2021

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