in Topeka - Nurse Practitioner

- NPI 1902956261

is a Nurse Practitioner in Topeka, Kansas. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1902956261. The last update date is .

's current location address is 634 Sw Mulvane, Topeka, Kansas. You can contact this provider via phone number 7852955498 and fax number 7852315991. The mailing address for is 634 Sw Mulvane, Topeka, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 634 Sw Mulvane, Topeka, Kansas
Phone Number 7852955498
Fax Number 7852315991
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1902956261
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 634 Sw Mulvane
City Topeka
State Kansas (KS)
Post Code 66604
Phone Number 7852955498
Fax Number 7852315991

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 74808
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
74808 KS STATE ARNP LICENSE

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