Individual
TACI JO WENDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-8500
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
(316) 962-8500
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
53-80509-062
KS
Other
Enumeration date
10/15/2019
Last updated
04/09/2022
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