Individual
MRS. CHRISTY SIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
46261
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016899016
MEDICARE PTAN
KS
05
—
200690710B
—
KS
Enumeration date
08/26/2008
Last updated
03/18/2026
Update your record
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