Individual
MRS. BREANNA DE LA SERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S SANTA FE AVE STE 100, SALINA, KS 67401-4189
(785) 825-2273
Mailing address
501 S SANTA FE AVE STE 100, SALINA, KS 67401-4189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-81817
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004879180001
—
KS
Enumeration date
11/10/2022
Last updated
01/30/2023
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