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NPI Code Detail

MEDICARE: MRS. MARY ELLEN ALEXANDER ARNP

MEDICARE: MRS. MARY ELLEN ALEXANDER 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
1363L00000XNurse Practitioner45747KS

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 : 1740277862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY ELLEN ALEXANDER ARNP
Provider Business Mailing Address
First Line : 2101 N WALDRON ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-1131
Country : US
Telephone Number : 620-669-2500
Fax Number :
Provider Business Practice Location Address
First Line : 2101 N WALDRON ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-1131
Country : US
Telephone Number : 620-669-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 10/05/2010

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