| Doctor Name: | MS. ARDETH ANN TINGLER-MCCANN |
| NPI Number: | 1013039155 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 44406 |
| Business Practice Address: | 3550 S 4th St Ste 120 Leavenworth, KS - 660485061 |
| Business Phone Number: | 9137726046 |
| Business Fax Number: | 9137580500 |
| Mailing Address: | 542 Oregon St, LEAVENWORTH |
| State: | KS |
| Postal Code: | 660484803 |
| Phone Number: | 9136822922 |
| Fax Number: | 9137580500 |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 12/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 44406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |