STEPHANIE NICOL TICE

WICHITA, KS
NPI1477045607
Former NameSTEPHANIE NICOL MAES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  557634)
Additional Taxonomies163W00000X Registered Nurse
(Licence: KS  118695)
Enumeration Date2018-06-04
Last Update Date2018-09-28
Business Address
STEPHANIE NICOL TICE CRNA
929 N SAINT FRANCIS ST
WICHITA, KS 67214-3821
Phone number: 316-268-5000
Mailing Address
STEPHANIE NICOL TICE CRNA
PO BOX 2897
WICHITA, KS 67201-2897
Phone number: