Individual
CYNTHIA C ELLIS-STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7348 W 21ST ST N, #107, WICHITA, KS 67205-1765
(316) 721-4828
(316) 721-4844
Mailing address
7348 W 21ST ST N, #107, WICHITA, KS 67205-1765
(316) 721-4828
(316) 721-4844
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
74363
KS
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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