Individual
STEVEN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
3204 N PARKRIDGE ST, WICHITA, KS 67205-7515
(817) 980-4226
Mailing address
3204 N PARKRIDGE ST, WICHITA, KS 67205-7515
(817) 980-4226
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG07250147
KS
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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