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Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1942550579

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 620-856-2900  Fax: 620-856-2901

Contact information for business:
Tel: 620-231-9873  Fax: 620-231-2808

Registration Information:
NPI: 1942550579
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Legacy codes, insurance codes and state license numbers:



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