Healthcare Provider Details

I. General information

NPI: 1750531281
Provider Name (Legal Business Name): JANICE M GUNTER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANICE M WHITLOW RN

II. Dates (important events)

Enumeration Date: 09/20/2008
Last Update Date: 09/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 VALLEY DR
LANSING KS
66043-1235
US

IV. Provider business mailing address

608 VALLEY DR
LANSING KS
66043-1235
US

V. Phone/Fax

Practice location:
  • Phone: 913-682-2000
  • Fax:
Mailing address:
  • Phone: 913-682-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1461672092
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: