Healthcare Provider Details

I. General information

NPI: 1962871202
Provider Name (Legal Business Name): MICHELLE ELIZABETH PRAGER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE WONNEL

II. Dates (important events)

Enumeration Date: 09/16/2015
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 SW GARFIELD AVE
TOPEKA KS
66606-1670
US

IV. Provider business mailing address

901 SW GARFIELD AVE
TOPEKA KS
66606-1670
US

V. Phone/Fax

Practice location:
  • Phone: 785-354-9591
  • Fax: 785-368-0478
Mailing address:
  • Phone: 785-354-9591
  • Fax: 785-368-0478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number53-76890-031
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number53-76890-031
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number53-76890-031
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: