Individual
MRS. NELLIE LYNN MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
21276 SW SHUMWAY RD, DOUGLASS, KS 67039-8257
(316) 619-5343
Mailing address
21276 SW SHUMWAY RD, DOUGLASS, KS 67039-8257
(316) 619-5343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-149076-041
KS
363LP2300X
Primary Care Nurse Practitioner
Primary
53-81750-041
KS
Other
Enumeration date
11/29/2022
Last updated
03/30/2023
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