Medina, Maria D

Medina, Maria D is an individual health care provider with primary practice located at 9350 E 35Th St N Suite 101, Wichita KS 67226-2019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Medina, Maria D can be contacted via phone (316) 265-1308.

Contact Information

Primary practice address
9350 E 35Th St N Suite 101 Wichita KS 67226-2019
Phone: (316) 265-1308
Fax: (316) 265-4480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-74537 Kansas

Profile Details

NPI number 1215932009
LBN Legal business name Medina, Maria D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215932009 NPPES
Kansas MEDICAID 100428600B

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