Provider Demographics
NPI:1578768107
Name:DENISON, BARBARA L (APRN, AHN-BC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:DENISON
Suffix:
Gender:F
Credentials:APRN, AHN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N ROCK RD
Mailing Address - Street 2:SUITE 300 P
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2203
Mailing Address - Country:US
Mailing Address - Phone:316-992-0077
Mailing Address - Fax:316-686-3975
Practice Address - Street 1:250 N ROCK RD
Practice Address - Street 2:SUITE 300 P
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2203
Practice Address - Country:US
Practice Address - Phone:316-992-0077
Practice Address - Fax:316-686-3975
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS74865364SH1100X, 364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SH1100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHolistic