Individual
MRS. AMANDA BETH ABASOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
755 W LINCOLN ST, WICHITA, KS 67213-4527
(316) 866-2000
(316) 866-2084
Mailing address
426 E QUAIL RIDGE CT, MULVANE, KS 67110-1136
(316) 613-1057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5376110091
KS
Other
Enumeration date
08/20/2013
Last updated
11/27/2019
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