Individual
LAUREN SHELBY EWERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
3450 N ROCK RD, WICHITA, KS 67226
(316) 312-0002
Mailing address
3450 N ROCK RD, WICHITA, KS 67226-1327
(316) 312-0002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-78530-112
KS
Other
Enumeration date
02/04/2019
Last updated
06/11/2019
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