Provider Demographics
NPI:1710478672
Name:OBIERO, FAITH (APRN-C)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:OBIERO
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E 61ST ST N STE 2
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67219-1960
Mailing Address - Country:US
Mailing Address - Phone:316-854-3200
Mailing Address - Fax:
Practice Address - Street 1:425 E 61ST ST N STE 2
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:KS
Practice Address - Zip Code:67219
Practice Address - Country:US
Practice Address - Phone:316-516-0008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-25
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS78211363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health