Individual
MARIA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22700 W 55TH TER, SHAWNEE, KS 66226-5602
(866) 389-2727
Mailing address
22700 W 55TH TER, SHAWNEE, KS 66226-5602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2025041047
MO
363LF0000X
Family Nurse Practitioner
Primary
53-84850-032
KS
Other
Enumeration date
11/03/2025
Last updated
01/07/2026
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