NPI 1841392206 · live from the CMS NPI Registry
Mary Lu Egidy, APRN
Nurse Practitioner, Psych/Mental Health in Lawrence, KS. National Provider Identifier 1841392206, active.
NPI record
| NPI | 1841392206 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 2619 W. 6th St. Suite C, Lawrence, KS 66049 |
| Practice phone | 785-830-8299 |
| Mailing address | 2619 W 6th St. Suite C, Lawrence, KS 66049 |
| Enumerated | September 5, 2006 |
| Last updated | January 23, 2017 |
| Sole proprietor | No |
| Other names | Mary Lu Egidy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 14-57857-101 (KS) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 74564 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.