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Individual

ELIZABETH D TAGGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2117 KEYSTONE CIR, ANDOVER, KS 67002-8749
(316) 733-5120
Mailing address
231 DOGWOOD CT, ANDOVER, KS 67002-9013
(316) 209-7987

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
91796
KS
363LF0000X
Family Nurse Practitioner
Primary
53-77986-091
KS

Other

Enumeration date
11/28/2017
Last updated
01/12/2018
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