Individual
DR. TRISTA ANNE VANCUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8725 E 32ND ST N, WICHITA, KS 67226-4008
(316) 201-1202
Mailing address
4957 N EMERALD CT, MAIZE, KS 67101-8716
(316) 680-7918
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-48190
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2020
Last updated
09/11/2023
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