Individual
NICOLE FORLENZA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10100 W 119TH ST STE 150, OVERLAND PARK, KS 66213-4100
(913) 754-0061
(913) 338-1311
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 338-1311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-152264
KS
363L00000X
Nurse Practitioner
Primary
53-84242
KS
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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