MEDICARE: NANCYLEE BURT 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
1	367A00000X	Advanced Practice Midwife	1346743031	KS

General Provider Information

NPI Number	:	1912232893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCYLEE BURT ARNP

Provider Business Mailing Address
First Line	:	1001 E 1200 ROAD
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-9447
Country	:	US
Telephone Number	:	785-865-5300
Fax Number	:	785-865-1399

Provider Business Practice Location Address
First Line	:	2323 RIDGE CT
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66046-3956
Country	:	US
Telephone Number	:	785-865-5300
Fax Number	:	785-865-1399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2009
Last Update Date	:	10/09/2009

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