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General NPI Number Information
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NPI Number | 1043049034
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Entity Type | Organization
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Legal Business Name | THE WELL PSYCHIATRIC CARE, LLC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 823 N MAIN ST STE 1
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City | MCPHERSON
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State | KS
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Zip | 67460-2839
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Country | US
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Telephone | 620-220-1225
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Fax | 620-299-0131
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Provider Business Mailing Address
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Address Line | 823 N MAIN ST STE 1
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City | MCPHERSON
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State | KS
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Zip | 67460-2839
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Country | US
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Telephone | 620-220-1225
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. LISA M WIEBE
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Credential | APRN
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Telephone | 316-737-0516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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