Individual
BROOKE RANDI CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
(316) 962-2000
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
147482
KS
363L00000X
Nurse Practitioner
Primary
53-84404-012
KS
Other
Enumeration date
07/28/2023
Last updated
06/03/2025
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