Individual
LAURA DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7550 W VILLAGE CIR STE 1, WICHITA, KS 67205-9364
(316) 838-2020
(316) 838-7574
Mailing address
7550 W VILLAGE CIR STE 1, WICHITA, KS 67205-9364
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78229
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-105528
KANSAS STATE BOARD OF HEALING ARTS
KS
01
—
53-78229
KANSAS STATE BOARD OF NURSING
KS
Enumeration date
07/26/2018
Last updated
07/26/2018
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