Provider Demographics
NPI:1649265836
Name:ADES, DONNA G (ARNP)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:G
Last Name:ADES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 48514
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-8514
Mailing Address - Country:US
Mailing Address - Phone:913-248-9693
Mailing Address - Fax:913-248-9383
Practice Address - Street 1:700 W CENTRAL AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:EL DORADO
Practice Address - State:KS
Practice Address - Zip Code:67042-2184
Practice Address - Country:US
Practice Address - Phone:316-320-3100
Practice Address - Fax:316-321-2188
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS44398ARNP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP35882Medicare UPIN
KS161663Medicare PIN