JOHNNA SUZANNE COSTELLO

WICHITA, KS
NPI1184968133
Former NameJOHNNA SUZANNE WENDT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  53-75854-011)
Enumeration Date2012-11-15
Last Update Date2016-09-30
Business Address
-- JOHNNA SUZANNE COSTELLO FNP-C
3311 E MURDOCK ST
WICHITA, KS 67208-3054
Phone number: 316-689-9107
Mailing Address
-- JOHNNA SUZANNE COSTELLO FNP-C
PO BOX 8035
WICHITA, KS 67208-0035
Phone number: 316-689-9135
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