Individual
MYRNA LOUISE GUMPENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
401 CHEYENNE STREET, SATANTA, KS 67870-0009
(620) 649-2771
(620) 649-2538
Mailing address
PO BOX 9, SATANTA, KS 67870-0009
(620) 649-2771
(620) 649-2538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45231
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100410650C
—
KS
01
—
101417
BLUE CROSS NUMBER
KS
01
—
13-53645-081
REGISTERED NURSE
KS
01
—
45231
ARNP #
KS
Enumeration date
05/17/2006
Last updated
07/08/2011
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