Individual
AMANDA A EWERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
347 S LAURA AVE, WICHITA, KS 67211-1518
(316) 686-7117
(316) 686-2679
Mailing address
347 S LAURA AVE, WICHITA, KS 67211-1518
(316) 686-7117
(316) 686-2679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13-123501
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
77678
KS
Other
Enumeration date
05/12/2017
Last updated
07/28/2022
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