Individual
VANESSA G BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
848 N SAINT FRANCIS ST, STE 3950, WICHITA, KS 67214-3800
(316) 268-5591
(316) 291-7890
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-7190
(316) 962-7100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5375128
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200568390A
—
OK
Enumeration date
06/16/2011
Last updated
01/14/2017
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