Provider Demographics
NPI:1174026868
Name:HABORO, AMARE (APRN)
Entity Type:Individual
Prefix:MR
First Name:AMARE
Middle Name:
Last Name:HABORO
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:10824 SHAWNEE MISSION PKWY
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-3512
Mailing Address - Country:US
Mailing Address - Phone:913-297-7472
Mailing Address - Fax:913-248-7631
Practice Address - Street 1:10824 SHAWNEE MISSION PKWY
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-3512
Practice Address - Country:US
Practice Address - Phone:913-297-7472
Practice Address - Fax:913-248-7631
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2021014136363LF0000X
KS53-78008-111363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily