Individual
BENITA F LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
347 S LAURA ST, WICHITA, KS 67211
(316) 686-7117
(316) 686-2679
Mailing address
347 S. LAURA ST., WICHITA, KS 67211-1518
(316) 686-7117
(316) 686-2679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
74898
KS
363LG0600X
Gerontology Nurse Practitioner
74898
KS
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APRN11016503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74898
STATE OF KANSAS LICENSE
KS
Enumeration date
10/01/2008
Last updated
07/21/2023
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