Individual
GAIL L BOALDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 E 13TH ST N, WICHITA, KS 67208-2014
(316) 866-2000
Mailing address
2008 NIGHTHAWK, MARION, KS 66861-9148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77823
KS
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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