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NPI Code Detail

MEDICARE: MICHAEL R ECHARD NP

MEDICARE:   MICHAEL R ECHARD  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner79744KS
2363L00000XNurse Practitioner53-79744-051KS

General Provider Information

NPI Number : 1104496983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL R ECHARD NP
Provider Business Mailing Address
First Line : PO BOX 453
Second Line :
City : COLUMBUS
State : KS
Zip : 66725-0453
Country : US
Telephone Number : 620-674-1029
Fax Number :
Provider Business Practice Location Address
First Line : 120 W PINE ST
Second Line :
City : COLUMBUS
State : KS
Zip : 66725-1705
Country : US
Telephone Number : 620-429-1008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2021
Last Update Date : 11/20/2024

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Directions to “ MICHAEL R ECHARD NP” Practice Location

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