Individual
AUTUMN LOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
530 N RIDGE RD STE B, WICHITA, KS 67212-6576
(316) 616-1055
(855) 633-0585
Mailing address
PO BOX 929, CHICKASHA, OK 73023-0929
(405) 896-8058
(855) 223-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
46149
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100299870
—
KS
05
—
100299870 B
—
KS
05
—
100299870B
—
KS
01
—
1225208952
NPI
KS
Enumeration date
03/10/2008
Last updated
02/18/2020
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