Provider Demographics
NPI:1467768457
Name:MAGEE, SHIRLEY DAWN M (ARNP, DNP)
Entity Type:Individual
Prefix:
First Name:SHIRLEY DAWN
Middle Name:M
Last Name:MAGEE
Suffix:
Gender:F
Credentials:ARNP, DNP
Other - Prefix:
Other - First Name:S. DAWN
Other - Middle Name:
Other - Last Name:MAGEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6725 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5625
Mailing Address - Country:US
Mailing Address - Phone:785-354-0517
Mailing Address - Fax:785-478-1508
Practice Address - Street 1:6725 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5625
Practice Address - Country:US
Practice Address - Phone:785-354-0517
Practice Address - Fax:785-478-1508
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75132092363L00000X
KS53-75132-092363LF0000X
KS75132363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30004017220002Medicaid
KS200971400AMedicaid