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NPI Code Detail

MEDICARE: MS. TARINA A GFELLER APRN, CPNP

MEDICARE:  MS. TARINA A GFELLER  APRN, CPNP
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
1363L00000XNurse Practitioner53-78547-052KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16736507OTHERAETNA COMMERCIAL
21700350972OTHERKSBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4PDZ000000237358OTHERKSAETNA BETTER HEALTH
50000701972OTHERUNITED HEALTHCARE
625274OTHERWPPA

General Provider Information

NPI Number : 1700350972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TARINA A GFELLER APRN, CPNP
Provider Business Mailing Address
First Line : PO BOX 725
Second Line :
City : NEWTON
State : KS
Zip : 67114-0725
Country : US
Telephone Number : 316-283-3627
Fax Number : 316-283-3635
Provider Business Practice Location Address
First Line : 700 MEDICAL CENTER DR
Second Line : STE 150
City : NEWTON
State : KS
Zip : 67114-9015
Country : US
Telephone Number : 316-283-7100
Fax Number : 316-283-7118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2019
Last Update Date : 11/30/2022

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Directions to “ MS. TARINA A GFELLER APRN, CPNP” Practice Location

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