Individual
PATRICIA SUE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1919 N AMIDON AVE, SUITE 130, WICHITA, KS 67203-2117
(316) 660-7675
(316) 832-1571
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
13-79732-071
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74779
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161035
BLUE CROSS BLUE SHIELD
KS
01
—
2165069
CIGNA
KS
01
—
6885
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
06/08/2006
Last updated
07/03/2013
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