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General NPI Number Information
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NPI Number | 1699501007
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Entity Type | Organization
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Legal Business Name | SUNFLOWER WELLNESS AND AESTHETICS
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 605 HOMESTEAD CT
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City | COLWICH
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State | KS
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Zip | 67030-9215
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Country | US
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Telephone | 316-204-8301
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Fax |
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Provider Business Mailing Address
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Address Line | 605 HOMESTEAD CT
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City | COLWICH
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State | KS
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Zip | 67030-9215
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Country | US
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Telephone | 316-204-8301
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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 | KRISTIN ROSE SUTTON
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Credential | APRN, FNP-BC
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Telephone | 316-204-8301
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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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