| Doctor Name: | MARY TINSLEY |
| NPI Number: | 1942313655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-CNP |
| License Number: | 45102 |
| Business Practice Address: | 3151 East River Road Newkirk, OK - 746470474 |
| Business Phone Number: | 5803621039 |
| Business Fax Number: | 5803621039 |
| Mailing Address: | 1417 S 1st St, ARKANSAS CITY |
| State: | KS |
| Postal Code: | 670053201 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 08/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 45102 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |