Provider Demographics
NPI:1407399926
Name:GHANI, BRITTANY J
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:J
Last Name:GHANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:J
Other - Last Name:SCHULTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 875743
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64187-5743
Mailing Address - Country:US
Mailing Address - Phone:913-215-5008
Mailing Address - Fax:816-447-3960
Practice Address - Street 1:21 CORPORATE WOODS, 10870 BENSON DR STE 2160
Practice Address - Street 2:STE 2160
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1509
Practice Address - Country:US
Practice Address - Phone:833-357-3227
Practice Address - Fax:855-299-2184
Is Sole Proprietor?:No
Enumeration Date:2016-12-01
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77466363LF0000X
MO2016038518363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily