Individual
LARREASHA KENTORIA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
(316) 616-1055
Mailing address
345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
(316) 616-1055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
125505
AR
363LF0000X
Family Nurse Practitioner
80274
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0034578
OH
Other
Enumeration date
07/16/2020
Last updated
08/15/2024
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