Individual
CHERYL E SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
607 LINCOLN ST, BLUE RAPIDS, KS 66411-1419
(785) 363-7202
(785) 363-7630
Mailing address
607 LINCOLN ST, BLUE RAPIDS, KS 66411-1419
(785) 363-7202
(785) 363-7630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44598
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160788
BC/BS KS
KS
01
—
425760
FIRST GUARD
KS
Enumeration date
07/20/2006
Last updated
07/08/2007
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