Individual
JOYCE ANN SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
Mailing address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
144281
KS
Other
Enumeration date
02/02/2012
Last updated
10/02/2013
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