Healthcare Provider Details

I. General information

NPI: 1003883307
Provider Name (Legal Business Name): SUNSHINES NURSING HORIZONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2718 N CUMMINGS RD SUITE W
GARDEN CITY KS
67846
US

IV. Provider business mailing address

2718 N CUMMINGS RD SUITE W
GARDEN CITY KS
67846
US

V. Phone/Fax

Practice location:
  • Phone: 620-276-1787
  • Fax: 620-275-9238
Mailing address:
  • Phone: 620-276-1787
  • Fax: 620-275-9238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number13051247-061
License Number StateKS

VIII. Authorized Official

Name: STACY A GEIL
Title or Position: CLINICAL NURSE SPECIALIST
Credential: APRN BC MS
Phone: 620-276-1787