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Contact Information

ANGELA L DODGE, ARNP
929 N SAINT FRANCIS ST
WICHITA, KS67214-3821
 Phone: 316-268-5775
 Fax: 316-291-7496
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ANGELA L DODGE · (Female)

NPI # 1588829139
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 07/23/2008
Last updated 11/30/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 139521322
  • KS License # 46215
  • KS Medicaid 200567260A
  • KS Other 110990010 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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