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Individual

MARY ELIZABETH FUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, NP-C

Contact information

Practice address
407 ASH ST, WAMEGO, KS 66547-1713
(785) 456-7872
Mailing address
407 ASH ST, WAMEGO, KS 66547-1713
(785) 456-7872

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75311-031
KS

Other

Enumeration date
08/21/2011
Last updated
11/08/2016
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