Wickham, Azadeh

Wickham, Azadeh is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wickham, Azadeh can be contacted via phone (816) 234-3000.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 45707 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2004030054 Missouri

Profile Details

NPI number 1902877376
LBN Legal business name Wickham, Azadeh
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Apr 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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