Individual
LYNELLE A FOSSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
212 MAPLE AVE, OAKLEY, KS 67748-1220
(785) 672-3261
(785) 672-8194
Mailing address
212 MAPLE AVE, OAKLEY, KS 67748-1220
(785) 672-3261
(785) 672-8194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45996
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099230F
—
KS
01
—
16261
PREFERRED HEALTH SYSTEMS
KS
05
—
200420290D
—
KS
Enumeration date
01/09/2007
Last updated
02/22/2016
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