Individual
MRS. SHAYNA NICOLE DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
818 N CARRIAGE PKWY, WICHITA, KS 67208-4500
(316) 651-2250
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-79380
KS
Other
Enumeration date
10/30/2018
Last updated
04/29/2020
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