Doctor Name: | ADDISON VOTH |
NPI Number: | 1013378215 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 77177 |
Business Practice Address: | 700 Medical Center Dr Ste 210 Newton, KS - 671149017 |
Business Phone Number: | 3162832800 |
Business Fax Number: | 3162833575 |
Mailing Address: | 700 Medical Center Dr Ste 210, NEWTON |
State: | KS |
Postal Code: | 671149017 |
Phone Number: | 3162832800 |
Fax Number: | 3162833575 |
NPI Enumeration Date: | 03/15/2016 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 77177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |