Individual
CHARISE ELIZABETH VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1010 N KANSAS ST STE 3049, WICHITA, KS 67214-3124
(316) 293-3490
(316) 293-1882
Mailing address
2528 N PORTER AVE, WICHITA, KS 67204-5711
(316) 200-4003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
162667
KS
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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