Provider Demographics
NPI:1962630871
Name:MEUSBORN, AMY D (APRN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:D
Last Name:MEUSBORN
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:1133 COLLEGE AVE
Mailing Address - Street 2:G100
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2770
Mailing Address - Country:US
Mailing Address - Phone:785-537-8710
Mailing Address - Fax:785-538-0562
Practice Address - Street 1:1133 COLLEGE AVE
Practice Address - Street 2:G100
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2770
Practice Address - Country:US
Practice Address - Phone:785-537-8710
Practice Address - Fax:785-537-0562
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2014-09-12
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Provider Licenses
StateLicense IDTaxonomies
KS53-74932-022363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner