Individual
THUY-ANNIE VU GRISAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
7111 E 21ST ST N STE A, WICHITA, KS 67206-1078
(316) 684-2851
(316) 683-5239
Mailing address
2700 W MEADOWVALE ST, WICHITA, KS 67203-1447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-80461-051
KS
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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