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Individual

ERICA NOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-4618
Mailing address
1186 SW GARFIELD AVE, TOPEKA, KS 66604-1329
(785) 249-7757

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-45483-052
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23-45483-052
LPN LICENSE NUMBER
KS
Enumeration date
09/11/2014
Last updated
09/11/2014
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