Provider Demographics
NPI:1497263024
Name:CAVALIERI, ALICIA O (FNP)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:O
Last Name:CAVALIERI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:4061 INDIAN CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-4030
Mailing Address - Country:US
Mailing Address - Phone:913-323-8885
Mailing Address - Fax:913-323-8886
Practice Address - Street 1:112 N WEBB ST
Practice Address - Street 2:
Practice Address - City:WEBB CITY
Practice Address - State:MO
Practice Address - Zip Code:64870-1916
Practice Address - Country:US
Practice Address - Phone:417-673-0366
Practice Address - Fax:417-673-0093
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2019-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2017044571363LF0000X
KS78800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily