Nissa Alfaro, RN
Individual provider Active NPI Registered Nurse · Wichita, KS
NPI 1003704701 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1003704701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 93958 (KS)
- Practice address
- 1919 N Amidon Ave Ste 130
Wichita, KS 67203-2118 - Phone
- (316) 660-7750
- NPI assigned
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93958 | KS | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 93958 | KS | Yes |
Addresses
Primary practice location
1919 N Amidon Ave Ste 130
Wichita, KS 67203-2118
Mailing address
271 W 3Rd St N Ste 600
Wichita, KS 67202-1223
Phone (316) 660-7662
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.