Individual
TANYA RENEE EWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
33520 NE 1900TH RD, GARNETT, KS 66032-9467
(785) 304-0780
Mailing address
33520 NE 1900TH RD, GARNETT, KS 66032-9467
(785) 304-0780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53-82912-022
KS
363LF0000X
Family Nurse Practitioner
Primary
53-82912-022
KS
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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