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NPI 1497733711

NPI 1497733711 : LILLIAN FERN PETERS RN ARNO BC : NEWTON, KS

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General NPI Number Information
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    NPI Number           |    1497733711
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    Entity Type          |    Individual 
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    Provider Name        |    LILLIAN FERN PETERS RN ARNO BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/06/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1901 E 1ST ST 
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    City                 |    NEWTON
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    State                |    KS
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    Zip                  |    67114-0467
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    Country              |    US
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    Telephone            |    316-284-6400
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    Fax                  |    316-284-6491
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Provider Business Mailing Address
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    Address Line         |    1901 E 1ST ST 
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    City                 |    NEWTON
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    State                |    KS
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    Zip                  |    67114-0467
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    Country              |    US
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    Telephone            |    316-284-6400
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    Fax                  |    316-284-6491
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    74328
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    364SP0807X
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    Taxonomy Name        |    Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    1324579092
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    License Number State |    KS
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