Individual
MARY MITSUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3707 SW 6TH AVE, TOPEKA, KS 66606-2084
(785) 270-4600
Mailing address
4201 TAMARISK CT, LAWRENCE, KS 66047-2022
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74294
KS
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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