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NPI Code Detail

MEDICARE: CORALEE MARIE GEHRT APRN

MEDICARE:   CORALEE MARIE GEHRT  APRN
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
1363L00000XNurse Practitioner75690KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2068002202OTHERKSMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053660472
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORALEE MARIE GEHRT APRN
Provider Business Mailing Address
First Line : 3000 MINERAL SPRINGS RD
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-9318
Country : US
Telephone Number : 785-236-1022
Fax Number :
Provider Business Practice Location Address
First Line : 3000 MINERAL SPRINGS RD
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-9318
Country : US
Telephone Number : 785-236-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2012
Last Update Date : 01/06/2026

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Directions to “ CORALEE MARIE GEHRT APRN” Practice Location

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