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NPI Code Detail

MEDICARE: MRS. LYNDA L PAGE ARNP, NNP

MEDICARE: MRS. LYNDA L PAGE ARNP, NNP
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
1363LN0000XNeonatal Nurse Practitioner53-44422-051KS

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 : 1598760779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYNDA L PAGE ARNP, NNP
Provider Business Mailing Address
First Line : PO BOX 1897
Second Line :
City : WICHITA
State : KS
Zip : 67201-1897
Country : US
Telephone Number : 316-268-8131
Fax Number : 316-291-4788
Provider Business Practice Location Address
First Line : 3600 E HARRY ST
Second Line :
City : WICHITA
State : KS
Zip : 67218-3713
Country : US
Telephone Number : 316-689-5475
Fax Number : 316-691-6772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 12/26/2014

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