Provider Demographics
NPI:1265811442
Name:DELICH, ALISON NICOLE (APRN)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:NICOLE
Last Name:DELICH
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7840 W 165TH ST STE 160
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-3085
Mailing Address - Country:US
Mailing Address - Phone:913-373-2141
Mailing Address - Fax:913-373-2146
Practice Address - Street 1:7840 W 165TH ST STE 160
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-3085
Practice Address - Country:US
Practice Address - Phone:913-373-2141
Practice Address - Fax:913-373-2146
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS5376798042207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine