Provider Demographics
NPI:1932890944
Name:VOGEL, MARIE ANN (APRN)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:ANN
Last Name:VOGEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:ANN
Other - Last Name:CROSSETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6837 W 37TH ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-9355
Mailing Address - Country:US
Mailing Address - Phone:316-312-9615
Mailing Address - Fax:316-773-3777
Practice Address - Street 1:6837 W 37TH ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-9355
Practice Address - Country:US
Practice Address - Phone:316-773-3100
Practice Address - Fax:316-773-3777
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-82210-072363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty