Individual
SHANDI MAE HUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6100
Mailing address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78100-081
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-78100-081
KANSAS STATE BOARD OF NURSING
KS
Enumeration date
03/06/2018
Last updated
03/06/2018
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