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NPI Code Detail

MEDICARE: MRS. RHANDI LEE REXROAT FNP

MEDICARE: MRS. RHANDI LEE REXROAT FNP
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 Practitioner78381KS

General Provider Information

NPI Number : 1649744202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RHANDI LEE REXROAT FNP
Provider Business Mailing Address
First Line : PO BOX 766
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-0766
Country : US
Telephone Number : 620-271-7400
Fax Number : 620-708-4027
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 : 620-356-4050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2019
Last Update Date : 11/27/2023

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