Individual
DELICIA C. BAWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11407 W SONDRA ST, MAIZE, KS 67101-9014
(316) 285-0505
(763) 314-4990
Mailing address
11407 W SONDRA ST, MAIZE, KS 67101-9014
(316) 285-0505
(763) 314-4990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76109
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
76109
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719320
MEDICARE
—
Enumeration date
09/30/2013
Last updated
08/14/2025
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