Individual
MARY BROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1131 S CLIFTON AVE, SUITE B, WICHITA, KS 67218-2955
(316) 462-1040
(316) 462-1042
Mailing address
1131 S CLIFTON AVE, SUITE B, WICHITA, KS 67218-2955
(316) 462-1040
(316) 462-1042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75895
KS
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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