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NPI Code Detail

MEDICARE: MARSHA LEWIS ARNP

MEDICARE: MARSHA LEWIS ARNP
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
1363LF0000XFamily Nurse Practitioner44876KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1161288OTHERKSBC/BS PROVIDER NUMBER

General Provider Information

NPI Number : 1245225804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA LEWIS ARNP
Provider Business Mailing Address
First Line : 1104 N SUNSET
Second Line :
City : SYRACUSE
State : KS
Zip : 67878
Country : US
Telephone Number : 620-384-5439
Fax Number : 620-274-4729
Provider Business Practice Location Address
First Line : 113 S MAIN ST STE A
Second Line :
City : ULYSSES
State : KS
Zip : 67880-2519
Country : US
Telephone Number : 620-356-2432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 04/02/2024

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