Individual
SALLY MY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5505 E HARRY ST, WICHITA, KS 67218-3825
(316) 686-0866
Mailing address
5505 E HARRY ST, WICHITA, KS 67218-3825
(316) 686-0866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76103
KS
Other
Enumeration date
12/25/2013
Last updated
08/20/2015
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