Individual
ERIMIAS ADUGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17474 W 164TH TER, OLATHE, KS 66062-8136
(913) 687-9401
Mailing address
17474 W 164TH TER, OLATHE, KS 66062-8136
(913) 687-9401
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-82251-031
KS
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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