Healthcare Provider Details

I. General information

NPI: 1821957218
Provider Name (Legal Business Name): PATROBER MURINDAT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3029 W 18TH ST N
WICHITA KS
67203-1124
US

IV. Provider business mailing address

3029 W 18TH ST N
WICHITA KS
67203-1124
US

V. Phone/Fax

Practice location:
  • Phone: 316-633-8692
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-84700-042
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: