Individual
VICKI PHAM TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-7190
Mailing address
4414 S CHASE AVE, WICHITA, KS 67217-7003
(316) 992-0588
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-80731-022
KS
363LA2100X
Acute Care Nurse Practitioner
5380731-022
KS
363LA2200X
Adult Health Nurse Practitioner
53-80731-022
KS
363LC0200X
Critical Care Medicine Nurse Practitioner
53-80731-022
KS
363LP0200X
Pediatric Nurse Practitioner
5380731-022
KS
363LP2300X
Primary Care Nurse Practitioner
53-80731-022
KS
363LW0102X
Women's Health Nurse Practitioner
53-80731-022
KS
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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