Individual
CANDICE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4910 W 1ST ST N, WICHITA, KS 67212-2341
(316) 866-2000
Mailing address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77478
KS
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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