Individual
ANDA MARIE ENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1776 CENTENNIAL DR, MCPHERSON, KS 67460-9301
(620) 718-8118
(620) 241-1351
Mailing address
971 90TH, PEABODY, KS 66866-9459
(167) 723-3306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78537
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F12180429
AANP FNP NUMBER
—
Enumeration date
03/23/2019
Last updated
07/06/2023
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