Individual
MS. TERRY A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
555 N WOODLAWN ST STE 102, WICHITA, KS 67208-3671
(316) 652-2590
(316) 652-2595
Mailing address
555 N WOODLAWN ST STE 102, WICHITA, KS 67208-3671
(316) 652-2590
(316) 652-2595
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74492
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200517140C
—
KS
Enumeration date
05/04/2006
Last updated
12/06/2013
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