Healthcare Provider Details

I. General information

NPI: 1568556074
Provider Name (Legal Business Name): DAWN MCCAFFERY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 PETER PAN RD
INDEPENDENCE KS
67301
US

IV. Provider business mailing address

PO BOX 736
PARSONS KS
67357-0736
US

V. Phone/Fax

Practice location:
  • Phone: 620-577-4310
  • Fax: 620-577-4312
Mailing address:
  • Phone: 620-820-5800
  • Fax: 620-820-5821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number44953
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: