Individual
MARSHA A. FAUBION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4121 W 83RD ST STE 254, PRAIRIE VILLAGE, KS 66208-5303
(913) 291-0076
Mailing address
4121 W 83RD ST STE 254, PRAIRIE VILLAGE, KS 66208-5303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015030554
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2017008671
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-77941-081
KS
Other
Enumeration date
12/22/2015
Last updated
10/07/2024
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