Doctor Name: | PATRICIA SHORT |
NPI Number: | 1255499232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 13-62-84-061 |
Business Practice Address: | 429 S 20th St Fredonia, KS - 667361753 |
Business Phone Number: | 6203783525 |
Business Fax Number: | |
Mailing Address: | 429 S 20th St, FREDONIA |
State: | KS |
Postal Code: | 667361753 |
Phone Number: | 6203783525 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 12/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 13-62-84-061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |