NPI 1174657472 · live from the CMS NPI Registry
Joan Loryane Booker, ARNP,CDE
Registered Nurse, Diabetes Educator in Garden City, KS. National Provider Identifier 1174657472, active.
NPI record
| NPI | 1174657472 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 401 E Spruce St, Garden City, KS 67846 |
| Practice phone | 620-272-2323 |
| Mailing address | 401 East Spruce Street, Garden City, KS 67846 |
| Enumerated | March 16, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | 13055882082 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.