Individual
JANIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 N KANSAS AVE, TOPEKA, KS 66608-1244
(785) 354-1777
(785) 354-8577
Mailing address
1130 N KANSAS AVE, TOPEKA, KS 66608-1244
(785) 354-1777
(785) 354-8577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76568
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002300
MEDICARE PTAN
KS
05
—
201109910A
—
KS
Enumeration date
01/08/2015
Last updated
05/05/2015
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