Individual
MS. MAUREEN E ENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP, C-NP
Contact information
Practice address
700 MEDICAL CENTER DR, STE 150, NEWTON, KS 67114-9015
(316) 283-7100
(316) 283-7118
Mailing address
PO BOX 725, NEWTON, KS 67114-0725
(316) 283-3627
(316) 283-3635
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45760
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200367530C
—
KS
01
—
5589557
COVENTRY / AETNA
—
Enumeration date
05/19/2006
Last updated
11/16/2022
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