Individual
BROOKE WIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
137 N OLIVER AVE, WICHITA, KS 67208-4031
(316) 425-7088
Mailing address
137 N OLIVER AVE, WICHITA, KS 67208-4031
(316) 425-7088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-101661-012
KS
Other
Enumeration date
08/11/2012
Last updated
08/11/2012
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