Provider Demographics
NPI:1457460602
Name:NOWER, VICKI L (APRN)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:L
Last Name:NOWER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5501 NW 62ND TER
Mailing Address - Street 2:SUITE #201
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-2411
Mailing Address - Country:US
Mailing Address - Phone:816-584-8884
Mailing Address - Fax:913-588-9220
Practice Address - Street 1:5501 NW 62ND TER
Practice Address - Street 2:SUITE #201
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-2411
Practice Address - Country:US
Practice Address - Phone:816-584-8884
Practice Address - Fax:913-588-9220
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO078251364SM0705X
KS74752364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P41884Medicare UPIN
MO038B390AMedicare PIN
KS038B390BMedicare UPIN
KS118050Medicare PIN