Individual
STACY BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2716 W CENTRAL AVE, WICHITA, KS 67203-4904
(316) 660-7394
Mailing address
5306 S MOSLEY ST, WICHITA, KS 67216-3651
(316) 524-7830
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
45204
KS
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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