Kristy Provence, APRN, BSN, WCC

NPI #1346018686 in Gardner, Kansas

Provider Information

NPI Number
1346018686
Entity Type
Individual
Name
Kristy Provence, APRN, BSN, WCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
APRN, BSN, WCC
Enumeration Date
Dec 15, 2023
Last Updated
Apr 10, 2025

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Wound CareWound Care
Nurse Practitioner - FamilyFamily

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