Individual
MICHELLE J PRUESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 RAVENHILL DR STE 100&107, ATCHISON, KS 66002-9204
(913) 367-2131
(913) 674-2023
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
(913) 674-2023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501045
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289057
PTAN
KS
05
—
30004234440001
—
KS
Enumeration date
11/23/2005
Last updated
03/18/2026
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