MACY MANDELINE DEEDS

SALINA, KS
NPI1396205753
Former NameMACY MANDLINE STORK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  53-78509-051)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: NE  112734)
Enumeration Date2019-03-21
Last Update Date2021-05-17
Business Address
MACY MANDELINE DEEDS APRN
1001 S OHIO ST
SALINA, KS 67401-5364
Phone number: 785-827-6453
Mailing Address
MACY MANDELINE DEEDS APRN
1001 S OHIO ST
SALINA, KS 67401-5364
Phone number: 785-827-6453