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NPI Code Detail

MEDICARE: JANET LEIGH BROCK ARNP

MEDICARE:   JANET LEIGH BROCK  ARNP
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
1363L00000XNurse Practitioner46279KS

General Provider Information

NPI Number : 1225287493
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET LEIGH BROCK ARNP
Provider Business Mailing Address
First Line : 2100 N WALDRON ST STE 4
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-1176
Country : US
Telephone Number : 620-513-4820
Fax Number : 620-513-4821
Provider Business Practice Location Address
First Line : 2100 N WALDRON ST STE 4
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-1176
Country : US
Telephone Number : 620-513-4820
Fax Number : 620-513-4821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2008
Last Update Date : 12/15/2021

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Directions to “ JANET LEIGH BROCK ARNP” Practice Location

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