Individual
MARY ANN GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W MYRTLE ST, INDEPENDENCE, KS 67301-3242
(620) 331-8190
Mailing address
4112 C. R. 1675, COFFEYVILLE, KS 67337-9473
(620) 251-4423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44558
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/06/2009
Last updated
08/06/2009
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