Healthcare Provider Details

I. General information

NPI: 1710899547
Provider Name (Legal Business Name): MY-TRINH NGUYEN DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 E 29TH ST N STE 204
WICHITA KS
67226-2183
US

IV. Provider business mailing address

9300 E 29TH ST N STE 204
WICHITA KS
67226-2183
US

V. Phone/Fax

Practice location:
  • Phone: 316-500-6000
  • Fax: 888-698-4725
Mailing address:
  • Phone: 316-500-6000
  • Fax: 888-698-4725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-86113-101
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: