Provider Demographics
NPI:1477799260
Name:THE WOUND NURSE, LLC
Entity Type:Organization
Organization Name:THE WOUND NURSE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:LANDIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, WOCN
Authorized Official - Phone:316-304-8551
Mailing Address - Street 1:7829 E ROCKHILL ST
Mailing Address - Street 2:SUITE 406
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3920
Mailing Address - Country:US
Mailing Address - Phone:316-304-8551
Mailing Address - Fax:316-733-2944
Practice Address - Street 1:716 N SAINT ANDREWS ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67230-1531
Practice Address - Country:US
Practice Address - Phone:316-733-1744
Practice Address - Fax:316-733-2944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-28
Last Update Date:2008-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies