Healthcare Provider Details

I. General information

NPI: 1811413842
Provider Name (Legal Business Name): CAEDRAN PEETE MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5120 SW 28TH ST
TOPEKA KS
66614-2321
US

IV. Provider business mailing address

5120 SW 28TH ST
TOPEKA KS
66614-2321
US

V. Phone/Fax

Practice location:
  • Phone: 785-408-5800
  • Fax: 785-730-8700
Mailing address:
  • Phone: 785-408-5800
  • Fax: 785-730-8700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-78912
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP134603
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: