=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518881358
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MINDY STANIEC RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2026
-----------------------------------------------------
Last Update Date | 08/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7035 SW MORRILL RD
-----------------------------------------------------
City | WAKARUSA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66546-9650
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-339-4760
-----------------------------------------------------
Fax | 785-339-4775
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 730 SW CAMBRIDGE AVE
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66606-2014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-339-4750
-----------------------------------------------------
Fax | 785-339-4775
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 135057
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------