Individual
MRS. FAITH GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-74972-042
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105463
HEALTH PARTNERS OF KANSAS
KS
01
—
1790918340
BLUE CROSS / BLUE SHIELD
KS
05
—
20676620A
—
KS
01
—
208131074
UNITED HEALTHCARE
KS
Enumeration date
08/31/2009
Last updated
10/31/2016
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