Individual
MARIE E HAYCOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S MAIN ST BLDG B, RUSSELL, KS 67665-2920
(785) 483-3333
Mailing address
130 AURORA DR, RUSSELL, KS 67665-2807
(785) 280-3691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-80297-081
KS
363LF0000X
Family Nurse Practitioner
Primary
5380297081
KS
Other
Enumeration date
02/01/2020
Last updated
03/26/2026
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