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Individual

SUSAN T NOBLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1133 COLLEGE AVE, SUITE E-110, MANHATTAN, KS 66502-2770
(785) 537-2651
(785) 537-2975
Mailing address
1133 COLLEGE AVE, SUITE E-110, MANHATTAN, KS 66502-2770
(785) 537-2651
(785) 537-4276

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
74497
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002180
MEDICARE PTAN
KS
05
100395280A
KS
05
100395280B
KS
Enumeration date
03/15/2006
Last updated
11/19/2012
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