Individual
NIGIST SHEMELES BALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
929 N SAINT FRANCIS AVE, WICHITA, KS 67214-3821
(316) 268-5000
Mailing address
1940 S WOODLAWN BLVD APT 201, WICHITA, KS 67218-4747
(607) 743-1712
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
144852
KS
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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