Individual
DIANE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10100 E SHANNON WOODS ST STE 100, WICHITA, KS 67226-4104
(316) 219-8299
(162) 195-8993
Mailing address
10100 E SHANNON WOODS ST STE 100, WICHITA, KS 67226-4104
(316) 219-8299
(316) 219-5899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77056
KS
Other
Enumeration date
05/02/2011
Last updated
05/04/2020
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