Individual
AMANDA LEANN MOGOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9300 E 29TH ST N STE 201, WICHITA, KS 67226-2183
(316) 685-1277
(316) 688-5208
Mailing address
PO BOX 667, WICHITA, KS 67201-0667
(316) 685-1206
(316) 688-5208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
77496
KS
Other
Enumeration date
01/18/2017
Last updated
03/07/2019
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