Individual
SHAUNA L SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
223 S MAIN ST, WICHITA, KS 67202-3715
(316) 207-4019
Mailing address
2330 N CEDAR CREST DR, WICHITA, KS 67223-7017
(316) 207-4019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-101653-021
KS
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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