Individual
LAURA ELIZABETH FULBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1358 S SIERRA HILLS ST, WICHITA, KS 67230-7548
(617) 699-2960
Mailing address
1358 S SIERRA HILLS ST, WICHITA, KS 67230-7548
(617) 699-2960
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
53-78475-092
KS
Other
Enumeration date
11/14/2018
Last updated
03/25/2019
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