Individual
LAURA BANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1122 N TOPEKA ST, WICHITA, KS 67214
(316) 866-2000
Mailing address
324 N EMPORIA #108, WICHITA, KS 67202
(816) 868-1439
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5375501042
KS
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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