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NPI Code Detail

MEDICARE: VALERIE HIDLAY RN

MEDICARE: VALERIE HIDLAY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse111946KS

General Provider Information

NPI Number : 1588696249
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE HIDLAY RN
Provider Business Mailing Address
First Line : 1010 N KANSAS ST
Second Line : SUITE #3054
City : WICHITA
State : KS
Zip : 67214-3124
Country : US
Telephone Number : 316-293-2647
Fax Number : 316-293-1863
Provider Business Practice Location Address
First Line : 1001 N MINNEAPOLIS ST
Second Line :
City : WICHITA
State : KS
Zip : 67214-3127
Country : US
Telephone Number : 316-293-2647
Fax Number : 316-293-1863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 02/01/2011

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