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Individual

SHEILA EBERSOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2820 OHIO ST, AUGUSTA, KS 67010-2361
(316) 775-7500
(316) 775-7500
Mailing address
2820 OHIO ST, AUGUSTA, KS 67010-2361
(316) 775-7500
(316) 775-7500

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45360
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100426830A
KS
Enumeration date
08/06/2006
Last updated
02/16/2017
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