Individual
MISS DIANE FLORENCE WENDELKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1620 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 776-1400
(785) 776-7392
Mailing address
1620 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 776-1400
(785) 776-7392
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
53-45554
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200253940A
—
KS
Enumeration date
05/27/2005
Last updated
03/07/2023
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