Doctor Name: | MS. MARY ANNETTE ADELHARDT |
NPI Number: | 1477714509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 45605 |
Business Practice Address: | 420 Country Club Rd Pratt, KS - 671243125 |
Business Phone Number: | 6206727415 |
Business Fax Number: | 6206727413 |
Mailing Address: | 420 Country Club Rd, PRATT |
State: | KS |
Postal Code: | 671243125 |
Phone Number: | 6206727415 |
Fax Number: | 6206727413 |
NPI Enumeration Date: | 06/20/2008 |
NPI Last Update Date: | 04/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 45605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |