Provider Demographics
NPI:1942746482
Name:OCASIO, EDELIS (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:EDELIS
Middle Name:
Last Name:OCASIO
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6750 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5648
Mailing Address - Country:US
Mailing Address - Phone:785-273-4165
Mailing Address - Fax:785-273-4149
Practice Address - Street 1:6750 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5648
Practice Address - Country:US
Practice Address - Phone:785-273-4165
Practice Address - Fax:785-273-4149
Is Sole Proprietor?:No
Enumeration Date:2017-01-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77509-072363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS13-111560-072OtherRN LICENSE NUMBER
KS53-77509-072OtherNP LICENSE NUMBER
KS53-77509-072OtherNP LICENSE NUMBER