Individual
EDELIS OCASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
6750 SW 29TH ST, TOPEKA, KS 66614-5648
(785) 273-4165
(785) 273-4149
Mailing address
6750 SW 29TH ST, TOPEKA, KS 66614-5648
(785) 273-4165
(785) 273-4149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77509-072
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-111560-072
RN LICENSE NUMBER
KS
01
—
53-77509-072
NP LICENSE NUMBER
KS
Enumeration date
01/08/2017
Last updated
03/07/2023
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