Individual
YOUSELINE EUSTACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
818 N CARRIAGE PKWY, WICHITA, KS 67208-4500
(316) 651-2216
(316) 651-2256
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76932
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719462
MEDICARE
—
05
—
201131330A
—
KS
Enumeration date
04/17/2016
Last updated
11/22/2016
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