Organization
HEARTLAND WOUND AND URGENT CARE
Active
Other names
Heartland Wound and Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY M PROVENCE APRN-C (OWNE/NURSE PRACTITIONER)
(913) 207-5089
Entity
Organization
Contact information
Practice address
15845 GARDNER WEST RD, GARDNER, KS 66030-9507
(913) 207-5089
(913) 273-1094
Mailing address
15845 GARDNER WEST RD, GARDNER, KS 66030-9507
(913) 207-5089
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/10/2025
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