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Individual

HEATHER MARIE MORIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
3343 W CENTRAL AVE, WICHITA, KS 67203-4917
(316) 260-4110
Mailing address
600 W NELSON ST, EDGERTON, KS 66021-2317
(913) 515-2621

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-83775-112
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13-125984-112
REGISTERED NURSE LICENSE NUMBER
KS
01
53-83775-112
AGNP-C LICENSE NUMBER
KS
Enumeration date
02/05/2025
Last updated
02/21/2025
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