Provider Demographics
NPI:1558627299
Name:NABORS, ADRIANA CHAVEZ (FNP)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:CHAVEZ
Last Name:NABORS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 HEARTLAND RD.
Mailing Address - Street 2:STE.2800
Mailing Address - City:ST JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-6200
Mailing Address - Country:US
Mailing Address - Phone:816-271-1200
Mailing Address - Fax:816-271-1220
Practice Address - Street 1:901 HEARTLAND RD.
Practice Address - Street 2:STE.2800
Practice Address - City:ST JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-6200
Practice Address - Country:US
Practice Address - Phone:816-271-1200
Practice Address - Fax:816-271-1220
Is Sole Proprietor?:No
Enumeration Date:2012-04-06
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012005451363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily