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NPI 1073792750

NPI 1073792750 : JULIA INGWERSON A.R.N.P. : SAINT MARYS, KS

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General NPI Number Information
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    NPI Number           |    1073792750
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    Entity Type          |    Individual 
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    Provider Name        |    JULIA INGWERSON A.R.N.P.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/30/2007
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    Last Update Date     |    03/31/2025
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Provider Practice Location Address
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    Address Line         |    206 S GRAND AVE 
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    City                 |    SAINT MARYS
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    State                |    KS
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    Zip                  |    66536-1637
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    Country              |    US
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    Telephone            |    785-437-3734
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    Fax                  |    785-437-6186
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Provider Business Mailing Address
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    Address Line         |    206 S GRAND AVE 
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    City                 |    SAINT MARYS
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    State                |    KS
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    Zip                  |    66536-1637
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    Country              |    US
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    Telephone            |    785-437-3734
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    Fax                  |    785-437-6186
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    45891
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    53-45891
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    License Number State |    KS
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