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Individual

MENDY L EBBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
631 SW HORNE ST STE 210, TOPEKA, KS 66606-1663
(785) 270-7660
(785) 232-2564
Mailing address
PO BOX 842012, DALLAS, TX 75284-2012
(918) 579-3808
(918) 579-3377

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76457
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002274
MEDICARE PTAN
KS
05
201101820A
KS
05
30004379200001
KS
Enumeration date
07/09/2014
Last updated
01/09/2026
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