Individual
EWA DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
107 S MAIN ST, OTTAWA, KS 66067-2327
(913) 401-2750
Mailing address
165 HUNT RD, FORT LEAVENWORTH, KS 66027-1410
(907) 707-9830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-83676-122
KS
Other
Enumeration date
10/08/2024
Last updated
10/09/2024
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