Individual
RENEE ELAINE PANKASKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP, NP-C
Contact information
Practice address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-6800
Mailing address
451 HIGHWAY 58, GRIDLEY, KS 66852-9272
(913) 991-2115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-81895-091
KS
363L00000X
Nurse Practitioner
TMP-161397
KS
Other
Enumeration date
01/27/2023
Last updated
01/30/2023
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