Individual
MRS. MARYON JOYCE HABTEMARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1515 S CLIFTON AVE, SUITE 201, WICHITA, KS 67218-2900
(316) 687-9961
(316) 687-6561
Mailing address
2525 N PERSHING ST, WICHITA, KS 67220-2909
(316) 250-6678
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
74269
KS
363LG0600X
Gerontology Nurse Practitioner
74269
KS
Other
Enumeration date
06/19/2006
Last updated
02/23/2023
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