Provider Demographics
NPI:1346988227
Name:ARMBRUSTER-WAHRMAN, CHEYENNE LERAY (PA-C)
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:LERAY
Last Name:ARMBRUSTER-WAHRMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CHEYENNE
Other - Middle Name:LERAY
Other - Last Name:ARMBRUSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:702 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67663-1612
Mailing Address - Country:US
Mailing Address - Phone:785-259-5529
Mailing Address - Fax:
Practice Address - Street 1:1210 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:KS
Practice Address - Zip Code:67663-1632
Practice Address - Country:US
Practice Address - Phone:785-434-2622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-21
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
KS1502670363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program