Provider Demographics
NPI:1942065628
Name:HENRY, SYDNEY TAYLOR (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:TAYLOR
Last Name:HENRY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3161 N ROCK RD STE A
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1453
Mailing Address - Country:US
Mailing Address - Phone:316-440-2712
Mailing Address - Fax:
Practice Address - Street 1:3161 N ROCK RD STE A
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-1453
Practice Address - Country:US
Practice Address - Phone:316-440-2712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-20
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-82856-051363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily