Most Relevant Information
Provider Data
| NPI Number: | 1003487752 |
| Provider Name: | MARTHA ELIZABETH MCCLELLAN LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 23-25861-071 |
Most Important Dates
| Enumeration Date: | 07/05/2021 |
| Last Updated: | 07/05/2021 |
Provider Practice Location
1823 COLLEGE AVE
MANHATTAN
KS
665023381
Practice Location Phone/Fax
| Phone: | 7857763322 |
| Fax: | 7857762803 |
Provider Mailing Location
3000 TUTTLE CREEK BLVD LOT 21
MANHATTAN
KS
665027121
Provider Mailing Phone/Fax
| Phone: | 7858062220 |
| Fax: |