Individual
BONNIE JEAN HUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
347 S LAURA ST, WICHITA, KS 67211
(163) 686-7117
(163) 686-2679
Mailing address
347 S LAURA ST, WICHITA, KS 67211-1518
(163) 686-7117
(163) 686-2679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1773913
OK
363L00000X
Nurse Practitioner
45047
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
45047
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750504197
NPI
—
05
—
200327800F
—
KS
01
—
53-45047
KANSAS STATE BOARD OF NURSING LICENSE
KS
01
—
73-0765084
OTHER
—
Enumeration date
04/11/2007
Last updated
03/07/2023
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