Individual
MRS. TABITHA RAE ATTREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
7829 E ROCKHILL ST STE 105, WICHITA, KS 67206-3919
(316) 221-5545
Mailing address
411 N WASHINGTON ST,, APT, SUITE, FLOOR, ETC., EL DORADO, KS 67042-2037
(316) 323-0850
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5382358041
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343229
—
KS
Enumeration date
12/17/2007
Last updated
01/02/2024
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