Organization · Type 2 NPI

Advanced Practice Dermatology LLC

Nurse Practitioner · Liberal, KS

NPI number 1417867789 Active

Practice location

1031 N Kansas Ave
Liberal, KS 67901-2644

Mailing address

240 Cactus Ln
Turpin, OK 73950-2067

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

About NPI 1417867789

Advanced Practice Dermatology LLC's National Provider Identifier is 1417867789, issued on Sep 9, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Liberal, KS. The record was last updated on Sep 9, 2026.