Individual
CYNDI MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4747 S BROADWAY AVE, WICHITA, KS 67216-1739
(316) 529-3084
Mailing address
1339 S SUMMIT RD, DERBY, KS 67037-3459
(423) 994-7098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-141526-082
KS
163W00000X
Registered Nurse
R0135447
OK
363LF0000X
Family Nurse Practitioner
Primary
53-81704-082
KS
Other
Enumeration date
12/21/2022
Last updated
02/06/2023
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