Provider Demographics
NPI:1386117653
Name:OMIGIE, ANNE PALMER (LPN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:PALMER
Last Name:OMIGIE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10100 W 136TH ST APT 1003
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-7838
Mailing Address - Country:US
Mailing Address - Phone:913-246-1021
Mailing Address - Fax:
Practice Address - Street 1:10100 W 136TH ST APT 1003
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-7838
Practice Address - Country:US
Practice Address - Phone:913-246-1021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health