Provider Demographics
NPI:1992062798
Name:BRUMMETT, PATRICK NORMAN (FNP)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:NORMAN
Last Name:BRUMMETT
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-1314
Mailing Address - Country:US
Mailing Address - Phone:913-259-7155
Mailing Address - Fax:913-938-4790
Practice Address - Street 1:314 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-1314
Practice Address - Country:US
Practice Address - Phone:913-259-7155
Practice Address - Fax:913-938-4790
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75662-021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily