Individual
MRS. POLLY J RICE-MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9333 E 21ST ST N, WICHITA, KS 67206-2927
(316) 634-4700
(316) 634-4770
Mailing address
PO BOX 467, NEWTON, KS 67114-0467
(316) 284-6400
(316) 284-6491
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
74310
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161459
BLUE CROSS BLUE SHIELD
KS
01
—
202997
GREAT WEST HEALTH PARTNER
KS
Enumeration date
10/02/2006
Last updated
10/28/2019
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