Individual
NANCY J. WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, AOCNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
089297
MO
163W00000X
Registered Nurse
81691
KS
363LA2200X
Adult Health Nurse Practitioner
089297
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
44830
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100387600B
—
KS
05
—
100387600C
—
KS
05
—
1679546147
—
MO
Enumeration date
02/07/2006
Last updated
12/11/2018
Update your record
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