MEDICARE: IRINA ARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	53-85357-122	KS

General Provider Information

NPI Number	:	1043166630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRINA ARD

Provider Business Mailing Address
First Line	:	3030 GRAND MERE PKWY APT 29
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66503-8682
Country	:	US
Telephone Number	:	785-333-5468
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 GRAND MERE PKWY APT 29
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66503-8682
Country	:	US
Telephone Number	:	785-217-8181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	04/29/2026

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