Healthcare Provider Details

I. General information

NPI: 1326295221
Provider Name (Legal Business Name): MARIAM NJOKU ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 N ROCK RD BLDG 1800
WICHITA KS
67226-1497
US

IV. Provider business mailing address

3500 N ROCK RD BLDG 1800
WICHITA KS
67226-1497
US

V. Phone/Fax

Practice location:
  • Phone: 316-201-4338
  • Fax: 316-201-4339
Mailing address:
  • Phone: 316-201-4338
  • Fax: 316-201-4339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-46260-121
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: