Provider Demographics
NPI:1245208537
Name:FERREIRA, AVA M (APRN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:AVA
Middle Name:M
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19577 W 87TH CIR
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-2561
Mailing Address - Country:US
Mailing Address - Phone:913-541-8215
Mailing Address - Fax:
Practice Address - Street 1:17700 E 39TH ST S
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6725
Practice Address - Country:US
Practice Address - Phone:816-393-0250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44813363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner