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Individual

MICHELLE NICOLE HARMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
(316) 291-4272
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(877) 649-7812
(918) 392-2941

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14107093
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557444
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201141780A
KS
01
P01720667
RR MEDICARE PTAN
KS
Enumeration date
06/21/2016
Last updated
01/25/2017
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