Individual
LORI DIANE ISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP, APRN-C
Contact information
Practice address
510 PETER PAN RD, INDEPENDENCE, KS 67301-7301
(760) 468-8371
Mailing address
510 PETER PAN RD, INDEPENDENCE, KS 67301-7301
(760) 468-8371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-78628-081
KS
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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