Individual
MRS. MARIA D MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9350 E 35TH ST N, SUITE 101, WICHITA, KS 67226-2019
(316) 265-1308
(316) 265-4480
Mailing address
PO BOX 47669, WICHITA, KS 67201-7669
(316) 712-9235
(316) 219-4141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-74537
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100428600B
—
KS
Enumeration date
06/17/2005
Last updated
02/09/2016
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