Basic Information
Provider Information
NPI: 1750710935
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OREAR
FirstName: DIA
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MARKHAM, MARKHAM-OREAR
OtherFirstName: DIA
OtherMiddleName: L
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: DEPT CH 14389
Address2:  
City: PALATINE
State: IL
PostalCode: 600554389
CountryCode: US
TelephoneNumber: 7852958108
FaxNumber: 7852707646
Practice Location
Address1: 1700 SW 7TH STREET,
Address2: 2ND FLOOR
City: TOPEKA
State: KS
PostalCode: 66606
CountryCode: US
TelephoneNumber: 7852957800
FaxNumber: 7852315990
Other Information
ProviderEnumerationDate: 11/07/2013
LastUpdateDate: 11/07/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X53-76181KSY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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