Individual
MRS. ADDIE TENNILLE GREB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3460 N. RIDGE RD., SUITE 120, WICHITA, KS 67205
(316) 684-2838
(316) 684-2838
Mailing address
310 S HILLSIDE ST, WICHITA, KS 67211-2129
(316) 684-2838
(316) 684-3326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45464
KS
Other
Enumeration date
12/30/2005
Last updated
05/06/2019
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