Individual
DANINACA CASSIE BAWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-8500
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
(316) 962-8500
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
53-78394-062
KS
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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