Doctor Name: | VICKIE KAY WARD |
NPI Number: | 1326176942 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC |
License Number: | 051608 |
Business Practice Address: | 100 W 1st St Higginsville, MO - 640371171 |
Business Phone Number: | 6605844817 |
Business Fax Number: | 6605849288 |
Mailing Address: | 17100 E Cheyenne Dr, INDEPENDENCE |
State: | MO |
Postal Code: | 640561519 |
Phone Number: | 8162575145 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 051608 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |