Individual provider · Type 1 NPI
Azadeh Wickham, FNP-C
Family Nurse Practitioner · Kansas City, MO
NPI number
1902877376
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Fax (816) 302-9939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 45707 (KS) |
| Family Nurse Practitioner Primary | 363LF0000X | 2004030054 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902877376
Azadeh Wickham, FNP-C's National Provider Identifier is 1902877376, issued on Feb 1, 2006. 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 Apr 4, 2016.