Individual
SHAWNA R DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
7230 SW 24TH ST, TOPEKA, KS 66614-6019
(785) 249-8936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-103742-032
KS
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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