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NPI Code Detail

MEDICARE: VAXA MENTAL HEALTH LLC

MEDICARE: VAXA MENTAL HEALTH LLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1629947908
Entity Type Code : Organization
Provider Name (Legal Business Name) : VAXA MENTAL HEALTH LLC
Provider Business Mailing Address
First Line : 2514 N HIGH POINT CIR
Second Line :
City : WICHITA
State : KS
Zip : 67205-1329
Country : US
Telephone Number : 316-999-9561
Fax Number : 316-462-0971
Provider Business Practice Location Address
First Line : 2514 N HIGH POINT CIR
Second Line :
City : WICHITA
State : KS
Zip : 67205-1329
Country : US
Telephone Number : 316-999-9561
Fax Number : 316-462-0971
Authorized Official
Title or Position : OWNER
Name : MS. MICHELLE RENEE DREILING
Credential : MSN, APRN, PMHNP-BC
Telephone Number : 316-452-0991
Provider Enumeration Date : 11/04/2025
Last Update Date : 01/30/2026

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Directions to “VAXA MENTAL HEALTH LLC ” Practice Location

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