Healthcare Provider Details

I. General information

NPI: 1235148305
Provider Name (Legal Business Name): SHEILA THOMAS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEILA EBERSOLE APRN

II. Dates (important events)

Enumeration Date: 08/06/2006
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 N MCLEAN BLVD STE 100
WICHITA KS
67203-4935
US

IV. Provider business mailing address

731 N MCLEAN BLVD STE 100
WICHITA KS
67203-4935
US

V. Phone/Fax

Practice location:
  • Phone: 316-461-0339
  • Fax: 316-221-1000
Mailing address:
  • Phone: 316-461-0339
  • Fax: 316-221-1000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number45360
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: