Individual provider · Type 1 NPI
Alexandria Ann Mediavilla, AGACNP
Family Nurse Practitioner · Kansas City, KS
NPI number
1851163893
Active
Practice location
4000 Cambridge St
Kansas City, KS 66160-8501
Mailing address
4000 Cambridge St Ste G600
Kansas City, KS 66160-8501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 14-137804 (KS) |
| Registered Nurse | 163W00000X | 2016024460 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 53-82688 (KS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1851163893
Alexandria Ann Mediavilla, AGACNP's National Provider Identifier is 1851163893, issued on Oct 24, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kansas City, KS. The record was last updated on Nov 29, 2023.