MEDICARE: NULIFE INSIGHTS CORPORATION

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	163W00000X	Registered Nurse	13-50306-112	KS

General Provider Information

NPI Number	:	1578000717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NULIFE INSIGHTS CORPORATION

Provider Business Mailing Address
First Line	:	1458 S ARBOR MEADOWS CIR
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-6601
Country	:	US
Telephone Number	:	316-303-7261
Fax Number	:

Provider Business Practice Location Address
First Line	:	9390 E CENTRAL AVE STE 102
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67206-2565
Country	:	US
Telephone Number	:	316-303-7261
Fax Number	:

Authorized Official
Title or Position	:	CHEIF EXECUTIVE OFFICER
Name	:	JANEA LYNN TRAPP
Credential	:
Telephone Number	:	316-303-7261

Provider Enumeration Date	:	01/26/2017
Last Update Date	:	01/26/2017

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