Maryon Joyce Habtemariam in Wichita - Gerontology
Maryon Joyce Habtemariam - NPI 1124063409
Maryon Joyce Habtemariam is a Gerontology in Wichita, Kansas. Maryon Joyce Habtemariam practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Maryon Joyce Habtemariam is 1124063409. The last update date is 2023-02-23.
Maryon Joyce Habtemariam's current location address is 1515 S Clifton Ave, Wichita, Kansas. You can contact this provider via phone number 3166879961 and fax number 3166876561. The mailing address for Maryon Joyce Habtemariam is 1515 S Clifton Ave, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryon Joyce Habtemariam |
|---|---|
| Address | 1515 S Clifton Ave, Wichita, Kansas |
| Phone Number | 3166879961 |
| Fax Number | 3166876561 |
| Sole Proprietor | Y |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1124063409 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2023-02-23 |
Provider Mailing Address Detail
| Address | 1515 S Clifton Ave |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672182900 |
| Phone Number | 3166879961 |
| Fax Number | 3166876561 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 74269 |
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Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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What is the unique 10-digit identification code assigned to Maryon Joyce Habtemariam by the Centers for Medicare & Medicaid Services?
The Maryon Joyce Habtemariam has been issued the NPI (National Provider Identifier) 1124063409, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is Maryon Joyce Habtemariam's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Maryon Joyce Habtemariam is Gerontology, and the taxonomy code that categorizes this field of expertise is 363Lg0600X.
When did the Maryon Joyce Habtemariam receive its 1124063409?
The Maryon Joyce Habtemariam was issued its 1124063409 on 2006-06-19, which is the date when the organization was assigned this unique identifier.
On what date did the Maryon Joyce Habtemariam receive its 1124063409 assignment from the Centers for Medicare & Medicaid Services?
The Maryon Joyce Habtemariam was assigned its 1124063409 by the Centers for Medicare & Medicaid Services on 2006-06-19.
As of what date were the details related to Maryon Joyce Habtemariam most recently updated or revised?
The information pertaining to Maryon Joyce Habtemariam, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-23.