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Individual

PATTY L. GERKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC, AOCN

Contact information

Practice address
115 E SPRING AVE, BONNER SPRINGS, KS 66012-1552
(913) 638-6768
Mailing address
115 E SPRING AVE, BONNER SPRINGS, KS 66012-1552
(913) 638-6768

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
118213
MO
163W00000X
Registered Nurse
13-31356-042
KS
363LA2200X
Adult Health Nurse Practitioner
118243
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
45611
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1538132683
MO
Enumeration date
02/09/2006
Last updated
04/12/2017
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