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Individual

DENISE MARIE AYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7420 SWITZER, SHAWNEE, KS 66203-4550
(913) 268-8033
(913) 647-1223
Mailing address
7420 SWITZER, SHAWNEE, KS 66203-4550
(913) 268-8033
(913) 647-1223

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
13-55897-072
KS
363LA2200X
Adult Health Nurse Practitioner
45199
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29959016
BLUE SHIELD
KS
Enumeration date
08/10/2005
Last updated
07/30/2008
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