NPI Code Details Logo

NPI 1265584403

NPI 1265584403 : CYNTHIA MCMILLIN ARNP : WICHITA, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265584403
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CYNTHIA MCMILLIN ARNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/17/2007
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8911 E ORME ST SUITE A
-----------------------------------------------------
    City                 |    WICHITA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67207-2423
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    316-686-7884
-----------------------------------------------------
    Fax                  |    316-686-0036
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8911 E ORME ST SUITE A
-----------------------------------------------------
    City                 |    WICHITA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67207-2423
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    316-686-7884
-----------------------------------------------------
    Fax                  |    316-686-0036
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163WP0807X
-----------------------------------------------------
    Taxonomy Name        |    Child & Adolescent Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
    License Number       |    1377757012
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    74806
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.