Individual
VONDA M WIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7348 W 21ST ST N STE 121, WICHITA, KS 67205-1765
(316) 722-0103
(316) 722-2223
Mailing address
7348 W 21ST ST N STE 121, WICHITA, KS 67205-1765
(316) 722-0103
(316) 722-2223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45218
KS
363LP0200X
Pediatric Nurse Practitioner
45218
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200543290C
—
KS
01
—
30000004RUWQEAU
EHR CERTIFICATION
KS
Enumeration date
02/22/2007
Last updated
11/12/2015
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