Individual
CYNTHIA J JANTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8533 E 32ND ST N, WICHITA, KS 67226-2611
(316) 293-3455
(855) 517-9494
Mailing address
8533 E 32ND ST N, WICHITA, KS 67226-2611
(316) 293-2633
(855) 517-9494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44915
KS
363LF0000X
Family Nurse Practitioner
44915
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200690920A
—
KS
Enumeration date
05/09/2006
Last updated
04/19/2016
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