Mrs Gwenyth Grace Wagner, | |
407 S Clairborne Rd, Olathe, KS 66062-1857 | |
(913) 393-9921 | |
Not Available |
Full Name | Mrs Gwenyth Grace Wagner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 407 S Clairborne Rd, Olathe, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093156564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 53-74969 (Kansas) | Primary |
Entity Name | Health Partnership Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265785232 PECOS PAC ID: 6507033867 Enrollment ID: O20120127000314 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gwenyth Grace Wagner, 405 S Clairborne Rd Ste 2, Olathe, KS 66062-1774 Ph: (913) 730-3661 | Mrs Gwenyth Grace Wagner, 407 S Clairborne Rd, Olathe, KS 66062-1857 Ph: (913) 393-9921 |
Michelle Lee Ballou, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18577 W 151st St, Olathe, KS 66062 Phone: 913-712-4599 | |
Megan Marie Nickell, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1125 W Spruce St, Olathe, KS 66061 Phone: 913-826-4200 | |
Maureen Caro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 407 S Clairborne Rd Ste 104, Olathe, KS 66062 Phone: 913-648-2266 Fax: 855-348-8430 | |
Linda Lea Beezley, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20375 W 151st St, 301, Olathe, KS 66061 Phone: 913-390-8050 Fax: 913-390-8049 | |
Kim E Bragdon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11875 S Sunset Dr, Olathe, KS 66061 Phone: 913-477-8351 Fax: 913-826-1300 | |
Shannon Nanelle Sandefur, FNP-BC APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Frontier Ln, Olathe, KS 66061 Phone: 877-397-7800 | |
Cherie Parker, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14361 S Blackfeather Dr, Olathe, KS 66062 Phone: 913-972-0560 |