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
1	363L00000X	Nurse Practitioner	75690	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	068002202	OTHER	KS	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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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