Individual
TAMMIE LYNN EDMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 SW TAYLOR ST, TOPEKA, KS 66603-3031
(785) 232-6874
Mailing address
205 SW TAYLOR ST, TOPEKA, KS 66603-3031
(785) 232-6874
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-89706-122
KS
Other
Enumeration date
04/18/2015
Last updated
04/18/2015
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