Healthcare Provider Details

I. General information

NPI: 1336565472
Provider Name (Legal Business Name): STEIKA RAPP ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2014
Last Update Date: 05/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 JACKSON ST
HUGOTON KS
67951
US

IV. Provider business mailing address

PO BOX 797 RT 2 BOX 78
HOOKER OK
73945-0797
US

V. Phone/Fax

Practice location:
  • Phone: 620-544-8563
  • Fax: 620-544-7362
Mailing address:
  • Phone: 620-544-8563
  • Fax: 620-544-7362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number148303
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: