Individual provider · Type 1 NPI

Victoria Fagan Park, FNP

Family Nurse Practitioner · Kansas City, MO

NPI number 1235393364 Active

Practice location

6400 Prospect Ave, Ste 310
Kansas City, MO 64132-1100

Fax (816) 926-0707

Mailing address

PO Box 801606
Kansas City, MO 64180-1606

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X091076 (MO)
Family Nurse Practitioner Primary 363LF0000X091076 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1235393364

Victoria Fagan Park, FNP's National Provider Identifier is 1235393364, issued on Jul 17, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kansas City, MO. The record was last updated on Sep 15, 2008.