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Individual

MRS. WANDA SUE BEEBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-C

Contact information

Practice address
9505 W CENTRAL AVE, STE 104, WICHITA, KS 67212-3832
(316) 312-0002
(316) 854-5644
Mailing address
9505 W CENTRAL AVE, STE 104, WICHITA, KS 67212-3832
(316) 312-0002
(316) 854-5644

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44143
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100249040B
KS
Enumeration date
10/21/2005
Last updated
02/26/2016
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