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1427481563
NICCI D SRNA
LEAVENWORTH, KS
NPI
1427481563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-75981-052)
Enumeration Date
2013-08-13
Last Update Date
2023-04-12
Business Address
NICCI D SRNA
1100 N 4TH ST
LEAVENWORTH, KS 66048-1572
Phone number: 913-297-9945
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Mailing Address
NICCI D SRNA
4055 E LAPSLEY RD
ASSARIA, KS 67416-8746
Phone number: 785-632-7033
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