Individual
STACIE LYNN NACHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
1946 S MAIN ST, WICHITA, KS 67213-5017
(316) 685-2221
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-39728-012
KS
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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