Individual
MRS. HANNAH JESSE COLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
634 SW MULVANE ST, TOPEKA, KS 66606-1678
(785) 295-7979
Mailing address
617 W 5TH ST, LEBO, KS 66856-9351
(785) 806-7746
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
80713
KS
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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