Provider Demographics
NPI:1952376709
Name:STUEDER, RITA J (ARNP)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:J
Last Name:STUEDER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 ELMHURST BLVD
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-7406
Mailing Address - Country:US
Mailing Address - Phone:785-827-2500
Mailing Address - Fax:785-827-2515
Practice Address - Street 1:1017 JACKSON ST STE C
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-4200
Practice Address - Country:US
Practice Address - Phone:620-792-3666
Practice Address - Fax:620-792-3667
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45340363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS160800OtherBCBS (GREAT BEND LOCATION
KS623450OtherFIRST GUARD
KS160799OtherBCBS (HAYS LOCATION)
KS161034OtherBCBS (SALINA LOCATION)
KSP00093407OtherTRAVELERS MEDICARE
KS160800Medicare ID - Type UnspecifiedGREAT BEND LOCATION
KS160799OtherBCBS (HAYS LOCATION)
KS623450OtherFIRST GUARD