Individual
NICOLE R SPONSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
(303) 306-7753
Mailing address
PO BOX 5183, DENVER, CO 80217-5183
(303) 306-7783
(833) 903-3589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00994
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200268310A
—
KS
Enumeration date
02/15/2006
Last updated
03/18/2026
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