Healthcare Provider Details

I. General information

NPI: 1265584403
Provider Name (Legal Business Name): CYNTHIA MCMILLIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8911 E ORME ST SUITE A
WICHITA KS
67207-2423
US

IV. Provider business mailing address

8911 E ORME ST SUITE A
WICHITA KS
67207-2423
US

V. Phone/Fax

Practice location:
  • Phone: 316-686-7884
  • Fax: 316-686-0036
Mailing address:
  • Phone: 316-686-7884
  • Fax: 316-686-0036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number1377757012
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number74806
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: