Individual
MRS. TANYA MARIE BROKOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
302 N HOSPITAL DR, GIRARD, KS 66743-2000
(620) 724-8291
Mailing address
110 S WILLIAMS ST, GIRARD, KS 66743-2101
(620) 724-0103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76043
KS
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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