Doctor Name: | BERDINE K EBY |
NPI Number: | 1023002490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-C |
License Number: | 44299 |
Business Practice Address: | 1133 College Ave Bldg. E-210 Manhattan, KS - 665022770 |
Business Phone Number: | 7855371414 |
Business Fax Number: | 7855370623 |
Mailing Address: | 1133 College Ave, Bldg. E-210 MANHATTAN |
State: | KS |
Postal Code: | 665022770 |
Phone Number: | 7855371414 |
Fax Number: | 7855370623 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 44299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |