=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184552895
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VERONICA SEBERGER APRN, PMHNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2026
-----------------------------------------------------
Last Update Date | 05/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10111 E 21ST ST N STE 106
-----------------------------------------------------
City | WICHITA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67206-3555
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 316-641-6485
-----------------------------------------------------
Fax | 316-260-9019
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10111 E 21ST ST N STE 106
-----------------------------------------------------
City | WICHITA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67206-3555
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 316-641-6485
-----------------------------------------------------
Fax | 316-260-9019
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | TMP-163501
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------