| Doctor Name: | NICCI D SRNA |
| NPI Number: | 1427481563 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 53-75981-052 |
| Business Practice Address: | 400 W 4th St Ste 2 Mcpherson, KS - 674602306 |
| Business Phone Number: | 6202415500 |
| Business Fax Number: | 6202416206 |
| Mailing Address: | 400 W 4th St Ste 2, MCPHERSON |
| State: | KS |
| Postal Code: | 674602306 |
| Phone Number: | 6202415500 |
| Fax Number: | 6202416206 |
| NPI Enumeration Date: | 08/13/2013 |
| NPI Last Update Date: | 06/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 53-75981-052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |