Provider Demographics
NPI:1871545483
Name:TOMLINSON, DEBBIE SUE (ARNP-C)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:SUE
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 969
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-0969
Mailing Address - Country:US
Mailing Address - Phone:620-786-6475
Mailing Address - Fax:620-786-6155
Practice Address - Street 1:3520 LAKIN AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-3660
Practice Address - Country:US
Practice Address - Phone:620-792-3345
Practice Address - Fax:620-792-3767
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44748363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100355880BMedicaid
KSP11549Medicare UPIN
KS100355880BMedicaid