Individual
CASANDRA LYNN BOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3223 N WEBB RD STE 1, WICHITA, KS 67226-8176
(316) 609-2600
Mailing address
3223 N WEBB RD STE 1, WICHITA, KS 67226-8176
(316) 609-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-80342-031
KS
Other
Enumeration date
07/06/2021
Last updated
03/13/2023
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