Individual
MRS. AMBER DANELLE GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
347 S LAURA ST, WICHITA, KS 67211-1518
(316) 686-7117
(316) 686-2679
Mailing address
605 JAYHAWK DR, CHENEY, KS 67025-9187
(316) 772-3520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77864
KS
363LG0600X
Gerontology Nurse Practitioner
77864
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201177650B
—
KS
Enumeration date
12/11/2017
Last updated
08/15/2022
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