Patricia Short
Individual provider Active NPI Home Health Registered Nurse · Fredonia, KS
NPI 1255499232 · NPPES record last updated Dec 3, 2010
Key facts
- NPI
- 1255499232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 13-62-84-061 (KS)
- Practice address
- 429 S 20TH St
Fredonia, KS 66736-1753 - Phone
- (620) 378-3525
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 13-62-84-061 | KS | Yes |
Addresses
Primary practice location
429 S 20TH St
Fredonia, KS 66736-1753
Mailing address
429 S 20TH St
Fredonia, KS 66736-1753
Phone (620) 378-3525
Other providers in Fredonia, KS
- Kelly Odell
- One Health Solutions LLC
- Oswaldo C Bacani MD Chartered
- Toni Lisa Peterson
- Rachael Jean Shinkle
- Jarrod Malcolm Smith
- Paul E. Sommer
- Southeast Kansas Diabetes Education
- Southeast Kansas Nutrition LLC
- Lacey Dawn Spohn
All providers in Fredonia, KS · Home Health Registered Nurse in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.