Individual
JULIE O'GARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
(316) 616-1055
Mailing address
345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
(316) 616-1055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019016258
MO
363LF0000X
Family Nurse Practitioner
Primary
80306
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020037483
FNP
MO
Enumeration date
10/14/2020
Last updated
07/18/2024
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