Individual
MRS. FARAHNAZ ALI JIWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11610 W 158TH TER, OVERLAND PARK, KS 66221-7110
(913) 314-2053
Mailing address
11610 W 158TH TER, OVERLAND PARK, KS 66221-7110
(913) 314-2053
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-77983-071
KS
363LA2100X
Acute Care Nurse Practitioner
2019011554
MO
363LA2100X
Acute Care Nurse Practitioner
53-77983-071
KS
363LA2200X
Adult Health Nurse Practitioner
2019011554
MO
363LA2200X
Adult Health Nurse Practitioner
53-77983-071
KS
363LF0000X
Family Nurse Practitioner
53-77983-071
KS
363LP2300X
Primary Care Nurse Practitioner
Primary
2019011554
MO
363LP2300X
Primary Care Nurse Practitioner
53-77983-071
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-4072521
MEDICARE
KS
05
—
81-4072521
—
MO
Enumeration date
12/21/2017
Last updated
08/22/2023
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