Individual
ANN NCEKEI WAIRAGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
347 S LAURA AVE, WICHITA, KS 67211-1518
(316) 686-7117
(316) 686-2679
Mailing address
347 S LAURA AVE, WICHITA, KS 67211-1518
(316) 686-7117
(316) 686-2679
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
79015
KS
363LG0600X
Gerontology Nurse Practitioner
79015
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201283540A
—
KS
Enumeration date
03/20/2020
Last updated
08/15/2022
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