Provider Demographics
NPI:1699708719
Name:EUBANK, NANCY KAY (ARNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:KAY
Last Name:EUBANK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 846
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KS
Mailing Address - Zip Code:67831-0846
Mailing Address - Country:US
Mailing Address - Phone:620-635-2880
Mailing Address - Fax:
Practice Address - Street 1:529 W 7TH STREET
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KS
Practice Address - Zip Code:67831
Practice Address - Country:US
Practice Address - Phone:620-635-2241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45289363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS14-88346-042OtherRN LICENSE
KS45289OtherADVANCED REGISTERED NURSE