Provider Demographics
NPI:1437582160
Name:HAMPTON, ETHAN THOMAS (MSN,RN,FNP-BC)
Entity Type:Individual
Prefix:
First Name:ETHAN
Middle Name:THOMAS
Last Name:HAMPTON
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Gender:M
Credentials:MSN,RN,FNP-BC
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Mailing Address - Street 1:2700 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3251
Mailing Address - Country:US
Mailing Address - Phone:816-691-5287
Mailing Address - Fax:816-346-7690
Practice Address - Street 1:5400 N OAK TRFY STE 200
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4690
Practice Address - Country:US
Practice Address - Phone:816-453-0900
Practice Address - Fax:816-453-3895
Is Sole Proprietor?:No
Enumeration Date:2013-08-16
Last Update Date:2019-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2013027911363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner