Individual
MRS. MICHELLE L. CUSUMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 ATCHISON ST, ATCHISON, KS 66002-2352
(913) 367-5020
(913) 367-1089
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
(913) 674-2023
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
53-81640-102
KS
Other
Enumeration date
11/04/2022
Last updated
01/11/2024
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