Individual
AZAM CHIZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1610 WASHINGTON BLVD, KANSAS CITY, KS 66102-2842
(913) 281-2605
(913) 281-0087
Mailing address
PO BOX 879985, KANSAS CITY, MO 64187-0001
(913) 248-9693
(913) 248-9383
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2001000435
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427626007
—
MO
Enumeration date
03/22/2006
Last updated
12/10/2020
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