Individual
SHARON MARY EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11907 W DORA CT, WICHITA, KS 67209-4237
(316) 409-9664
Mailing address
11907 W DORA CT, WICHITA, KS 67209-4237
(316) 409-9664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-128184
KS
163W00000X
Registered Nurse
RN-78822
HI
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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