# SALLIE S PAGE-GOERTZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922110030
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 13-36811-072 | KS | — |
| 363L00000X | Nurse Practitioner | 74274 | KS | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 07/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100340290A | — | KS |
| 05 | — | 424966406 | — | MO |
| 01 | — | 500011376 | RAILROAD MEDICARE | — |
| 01 | — | 636910 | FIRSTGUARD | KS |