Individual provider · NPI-1

Amanda Beth Abasolo, APRN

Nurse Practitioner, Family · Wichita, KS

NPI number1073946455
StatusActive
Last updated in NPPESNov 27, 2019

Details

NPI
1073946455
Entity type
Individual (NPI-1)
Name
Mrs. Amanda Beth Abasolo
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 20, 2013
Last updated
Nov 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family5376110091KSYes

Practice location

755 W Lincoln St
Wichita, KS 67213-4527

Phone 316-866-2000 · Fax 316-866-2084

Mailing address

426 E Quail Ridge Ct
Mulvane, KS 67110-1136

Phone 316-613-1057

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Wichita, KS