Individual
SAMANTHA DOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 N WEBB RD, WICHITA, KS 67206-3413
(316) 636-2888
(316) 636-2366
Mailing address
1855 N WEBB RD, WICHITA, KS 67206-3413
(316) 636-2888
(316) 636-2366
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-84309
KS
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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