Individual
NICOLE B VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2700 CLAY EDWARDS DR, SUITE 300, N KANSAS CITY, MO 64116-3251
(816) 842-0171
(816) 842-3582
Mailing address
2700 CLAY EDWARDS DR, SUITE 300, N KANSAS CITY, MO 64116-3251
(816) 842-0171
(816) 842-3582
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2012008571
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012008571
ANP LICENSE NUMBER
MO
Enumeration date
07/19/2012
Last updated
07/19/2012
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