VICTORIA FAGAN PARK FNP NPI 1235393364

NPI Information

NPI: 1235393364
Provider Name: VICTORIA FAGAN PARK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
6400 PROSPECT AVE
STE 310
KANSAS CITY, MO
ZIP 64132
Phone: (816) 926-0777
Get Directions

Victoria Fagan Park, FNP is a family nurse practitioner in Kansas City, MO. Victoria Fagan Park, FNP NPI is 1235393364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6400 PROSPECT AVE
STE 310
KANSAS CITY, MO
ZIP 64132-100
Phone: (816) 926-0777
Fax: (816) 926-0707

The enumeration date for this NPI number is 7/17/2008 and was last updated on 9/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		091076	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	091076	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K22000001	MEDICARE PIN	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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