Healthcare Provider Details

I. General information

NPI: 1407814692
Provider Name (Legal Business Name): ANGELA D STORRER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 11/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 N EMPORIA SUITE 200
WICHITA KS
67214
US

IV. Provider business mailing address

818 N EMPORIA SUITE 200
WICHITA KS
67214
US

V. Phone/Fax

Practice location:
  • Phone: 316-263-0296
  • Fax: 316-263-9523
Mailing address:
  • Phone: 316-263-0296
  • Fax: 316-263-9523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number45839
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5345839022
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: