Individual
MRS. TINA M SHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4013 N RIDGE RD, STE 110, WICHITA, KS 67205-8857
(316) 722-1333
(316) 722-3058
Mailing address
4013 N RIDGE RD STE 110, WICHITA, KS 67205-8857
(316) 722-1333
(316) 722-3058
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
45445
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002810A
—
KS
01
—
KA1634002
MEDICARE PTAN
KS
Enumeration date
07/20/2005
Last updated
09/23/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us