Individual
JOLEEN M ZIVNUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
551 N HILLSIDE ST, STE 510, WICHITA, KS 67214-4923
(316) 685-0559
(316) 685-0455
Mailing address
PO BOX 764, WICHITA, KS 67201-0764
(316) 685-0559
(316) 685-0455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44065
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100425590A
—
KS
Enumeration date
08/23/2006
Last updated
12/01/2010
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