Provider Demographics
NPI:1053779744
Name:GARIEPY, JUDITH (ARNP)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:GARIEPY
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 1:1845 FAIRMOUNT ST
Mailing Address - Street 2:209 AHLBERG HALL
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67260-0092
Mailing Address - Country:US
Mailing Address - Phone:316-978-3620
Mailing Address - Fax:316-978-3517
Practice Address - Street 1:1845 FAIRMOUNT ST
Practice Address - Street 2:209 AHLBERG HALL
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67260-0092
Practice Address - Country:US
Practice Address - Phone:316-978-3620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-44179-012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily