Healthcare Provider Details

I. General information

NPI: 1548772759
Provider Name (Legal Business Name): DEBORAH LANSDOWNE RN-BC CDONA/LTC CLNC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2017
Last Update Date: 10/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2531 GRAND AVE
PARSONS KS
67357-4131
US

IV. Provider business mailing address

709 LEAWOOD DR
PARSONS KS
67357-3436
US

V. Phone/Fax

Practice location:
  • Phone: 620-421-4271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number13-46802-011
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: