Individual
ANA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP
Contact information
Practice address
8821 W CENTRAL PARK CT, WICHITA, KS 67205-2100
(316) 214-4919
Mailing address
8821 W CENTRAL PARK CT, WICHITA, KS 67205-2100
(316) 214-4919
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
537892121
KS
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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