AUGUSTA FAMILY PRACTICE
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1619375342- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1306 STATE ST, AUGUSTA, KS, 670101126
- Phone
- (316) 775-9191
- Fax
- (316) 775-0348
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: KS #5376107