Healthcare Provider Details

I. General information

NPI: 1518881358
Provider Name (Legal Business Name): MINDY STANIEC RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7035 SW MORRILL RD
WAKARUSA KS
66546-9650
US

IV. Provider business mailing address

730 SW CAMBRIDGE AVE
TOPEKA KS
66606-2014
US

V. Phone/Fax

Practice location:
  • Phone: 785-339-4760
  • Fax: 785-339-4775
Mailing address:
  • Phone: 785-339-4750
  • Fax: 785-339-4775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number135057
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: