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NPI Code Detail

MEDICARE: ELIZABETH A HENKEMEYER FNP BC

MEDICARE: ELIZABETH A HENKEMEYER FNP BC
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 Practitioner603322TX

General Provider Information

NPI Number : 1336180256
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A HENKEMEYER FNP BC
Provider Business Mailing Address
First Line : 2200 SW GAGE BLVD COLMERY ONEIL VAMC C501
Second Line :
City : TOPEKA
State : KS
Zip : 66622-0001
Country : US
Telephone Number : 785-350-3111
Fax Number :
Provider Business Practice Location Address
First Line : 2200 SW GAGE BLVD COLMERY ONEIL VAMC
Second Line :
City : TOPEKA
State : KS
Zip : 66622-1369
Country : US
Telephone Number : 785-350-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 09/30/2019

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