MEDICARE: ABIGAIL RAFFEL WHNP-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
1	363LW0102X	Women's Health Nurse Practitioner	2024006502	MO

General Provider Information

NPI Number	:	1972368652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL RAFFEL WHNP-BC

Provider Business Mailing Address
First Line	:	7210 NW AUTUMN ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64152-2860
Country	:	US
Telephone Number	:	816-273-6024
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 NE 60TH ST STE 100
Second Line	:
City	:	GLADSTONE
State	:	MO
Zip	:	64119-2091
Country	:	US
Telephone Number	:	816-453-6000
Fax Number	:

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

Provider Enumeration Date	:	02/20/2024
Last Update Date	:	02/20/2024

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