Individual
IESHA D GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
Mailing address
7450 E 32ND ST N APT 403, WICHITA, KS 67226-1291
(316) 882-2785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1153847
TX
363LF0000X
Family Nurse Practitioner
Primary
53-82996-051
KS
Other
Enumeration date
03/28/2024
Last updated
04/13/2024
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