Provider Demographics
NPI:1235432329
Name:BAHR, SHERRY ANNETTE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:ANNETTE
Last Name:BAHR
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:9727 SHANNON WOODS
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-4102
Mailing Address - Country:US
Mailing Address - Phone:316-462-1811
Mailing Address - Fax:316-462-1818
Practice Address - Street 1:9727 SHANNON WOODS
Practice Address - Street 2:SUITE 120
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-4102
Practice Address - Country:US
Practice Address - Phone:316-462-1811
Practice Address - Fax:316-462-1818
Is Sole Proprietor?:No
Enumeration Date:2010-12-10
Last Update Date:2010-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS13-62134-081163W00000X
KS53-75157-081363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse