SAN JUANITA HEYTENS APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1669081519- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- 1513 W WYATT EARP BLVD, DODGE CITY, KS, 678013352
- Phone
- (620) 682-8304
Specialties & Taxonomies
Registered Nurse
License: KS #101659
Nurse Practitioner, Family
Primary License: KS #53-81235-122