Individual
AMANDA ELIZABETH AST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
834 N SOCORA ST STE 4, WICHITA, KS 67212-3279
(316) 440-2802
Mailing address
834 N SOCORA ST STE 4, WICHITA, KS 67212-3279
(316) 440-2802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77984
KS
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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