Individual
SUSAN K PFANNENSTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3211 S SENECA ST, WICHITA, KS 67217-3348
(316) 670-1582
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(316) 670-1582
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45207
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100400060A
—
KS
Enumeration date
03/01/2006
Last updated
07/19/2024
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