Individual
MS. NANCY L ROOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
331 S HYDRAULIC ST, WICHITA, KS 67211-1908
(316) 219-3571
(316) 219-3573
Mailing address
7329 N WOODLAWN ST, VALLEY CENTER, KS 67147-8560
(316) 219-3571
(316) 219-3573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44194
KS
363LF0000X
Family Nurse Practitioner
44194
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201155050A
—
KS
01
—
KA351011
MEDICARE
KS
Enumeration date
06/30/2006
Last updated
03/31/2022
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