| NPI | 1740829548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN ANDONG NDUM Manager 785-313-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 246XS1301X Specialist/Technologist Cardiovascular Sonography | |
| 2471S1302X Radiologic Technologist Sonography | |
| 251E00000X Home Health | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-01-30 |