Individual
LISA GAIL BOHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3460 N RIDGE RD STE 120, WICHITA, KS 67205-1223
(316) 272-0800
Mailing address
2818 E 45TH CT N, WICHITA, KS 67219-2021
(316) 667-6700
(316) 667-6701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-83594-072
KS
Other
Enumeration date
09/24/2024
Last updated
09/08/2025
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