Individual
MRS. COURTNEY MICHELLE BOHANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
551 N HILLSIDE ST STE 510, WICHITA, KS 67214-4928
(316) 685-0559
(316) 685-0455
Mailing address
551 N HILLSIDE ST STE 510, WICHITA, KS 67214-4928
(316) 685-0559
(316) 685-0455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-117282-012
KS
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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