Healthcare Provider Details

I. General information

NPI: 1790884427
Provider Name (Legal Business Name): CHERYL K GIEFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 N HOSPITAL DR
GIRARD KS
66743-2000
US

IV. Provider business mailing address

302 N HOSPITAL DR
GIRARD KS
66743-2000
US

V. Phone/Fax

Practice location:
  • Phone: 620-724-8291
  • Fax: 620-724-6332
Mailing address:
  • Phone: 620-724-8291
  • Fax: 620-724-6332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number44524
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: