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Individual

DIANA L CARRO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3122 N CYPRESS DR, SUITE 100, WICHITA, KS 67226-4013
(316) 684-5257
(316) 684-9369
Mailing address
3122 N CYPRESS DR, WICHITA, KS 67226-4014
(316) 684-5257
(316) 684-9369

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44238
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
161198
BLUE CROSS BLUE SHIELD OF
KS
Enumeration date
05/11/2006
Last updated
07/08/2007
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