Andrea Nisly
Andrea Nisly is a Student in an Organized Health Care Education/Training Program in Wichita, Kansas. Practices as a sole proprietor. Licensed in Kansas.
- Licensed in
- KS
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
550 N Hillside StWichita, KS 67214-4910
Phone: (316) 962-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 1502507 (KS) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1740858174 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 13, 2021 |
| Last updated in NPPES | October 21, 2021 |
| Certification date | October 21, 2021 |
| Mailing address | Po Box 16928, Wichita, KS 67216-0928 |
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