Short, Britt Nicole
Short, Britt Nicole is an individual health care provider with primary practice located at 555 W 15Th St Ste A, Liberal KS 67901-2467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Short, Britt Nicole can be contacted via phone (620) 624-0702.Contact Information
Primary practice address
555 W 15Th St Ste A
Liberal KS 67901-2467
Phone: (620) 624-0702
Fax: (620) 624-5078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 53-46166 | Kansas |
Profile Details
| NPI number | 1659559540 |
|---|---|
| LBN Legal business name | Short, Britt Nicole |
| Credentials | APRN/FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2008 |
| Last updated | Mar 8th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659559540 | NPPES |
| Oklahoma | MEDICAID | 200255920A | |
| Oklahoma | MEDICAID | 200643940C |
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