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Individual

MRS. JACQUE ELAINE EDIGER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP,BC

Contact information

Practice address
5500 E KELLOGG DR, BLDG 5- ROBERT J DOLE VA MEDICAL CENTER, WICHITA, KS 67218-1607
(316) 634-3058
(316) 634-3091
Mailing address
404 S OSAGE ST, CALDWELL, KS 67022-1651
(620) 845-6852

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74824
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5615865701
KS
Enumeration date
05/06/2006
Last updated
07/09/2007
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