Individual
AURELINE STEPHANIE TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1947 N FOUNDERS CIR, WICHITA, KS 67206-3548
(316) 613-4600
Mailing address
1947 N FOUNDERS CIR, WICHITA, KS 67206-3548
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
135051
KS
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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