IndividualActive
Sidney Melugin
NPI 1063104057 · Gerontology Nurse Practitioner · Wichita, KS
Provider details
- NPI number
- 1063104057
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 363LG0600X (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4700 W 13th St N
Wichita, KS 67212-5575
Phone: (316) 202-3676
Approximate (ZIP-level) locationGet directions
Mailing address
4700 W 13th St N
Wichita, KS 67212-5575
Registry dates
- Enumerated
- 2023-05-25
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.