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Individual

NOVA J HANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4330 WORNALL RD STE 2000, KANSAS CITY, MO 64111-5939
(816) 931-1883
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 931-1883

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F02221106
KS
363LF0000X
Family Nurse Practitioner
Primary
2022029741
MO
363LF0000X
Family Nurse Practitioner
5380894
KS

Other

Enumeration date
08/11/2022
Last updated
09/02/2022
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