Heartland Wound and Urgent Care

NPI #1013763382 in Gardner, Kansas

Provider Information

NPI Number
1013763382
Entity Type
Organization
Organization Name
Heartland Wound and Urgent Care
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 27, 2024
Last Updated
Apr 10, 2025

Practice Location

Address
15845 GARDNER WEST RD
State
Kansas
ZIP Code
66030-9507
Phone
(913) 207-5089

Authorized Official

Name
KRISTY M PROVENCE, APRN-C
Title
OWNE/NURSE PRACTITIONER
Phone
(913) 207-5089

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Wound CareWound Care
Nurse Practitioner - FamilyFamily

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