| NPI | 1043049034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M WIEBE Nurse Practitioner 316-737-0516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |