Dr. Nicole Sue Annan, M.D.
Family Medicine in Overland Park, KS. Individual provider (NPI-1).
NPI number1821416876
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1821416876
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Sue Annan
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2014
- Certification date
- Aug 1, 2022
- Last updated
- Aug 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 04-39886 | KS | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5701 W 119th StOverland Park, KS 66209-3721
Phone 913-345-3650 · Fax 877-743-5908
Mailing address
5701 W 119th StOverland Park, KS 66209-3721
Phone 913-345-3650 · Fax 877-743-5908
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