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NPI Code Detail

MEDICARE: MARGARET PTACEK

MEDICARE: MARGARET PTACEK
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
1363LF0000XFamily Nurse Practitioner104400KS

General Provider Information

NPI Number : 1255051827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET PTACEK
Provider Business Mailing Address
First Line : 429 MEADOWLARK DR
Second Line :
City : MINNEAPOLIS
State : KS
Zip : 67467-3007
Country : US
Telephone Number : 785-488-6045
Fax Number :
Provider Business Practice Location Address
First Line : 830 ELM ST
Second Line :
City : MINNEAPOLIS
State : KS
Zip : 67467-1608
Country : US
Telephone Number : 785-392-2144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2022
Last Update Date : 09/01/2022

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