IndividualActive
Alicia Huckstadt, PHD, ARNP, FNP
NPI 1699719203 · Gerontology Nurse Practitioner · Wichita, KS
Provider details
- NPI number
- 1699719203
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHD, ARNP, FNP
- Sex
- Female
- License
- 5344403 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1845 Fairmount St, Box 41
Wichita, KS 67260-0001
Phone: (316) 978-5742
Fax: (316) 978-3094
Approximate (ZIP-level) locationGet directions
Mailing address
13303 E. Camden Chase St.
Wichita, KS 67228-8028
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.