Healthcare Provider Details

I. General information

NPI: 1730393109
Provider Name (Legal Business Name): MARGARET BAKER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E 9TH ST N
WICHITA KS
67214-3115
US

IV. Provider business mailing address

2436 W WILSON DR
WICHITA KS
67204-5432
US

V. Phone/Fax

Practice location:
  • Phone: 316-660-7318
  • Fax:
Mailing address:
  • Phone: 316-838-9107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number44112
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: