MS. MARY LOUISE WENTWORTH


Address: 2649 Sw Arrowhead Rd., Topeka, KS 66614
Phone: 7852330516

MS. MARY LOUISE WENTWORTH (NPI# 1518115872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518115872
Entity Type Individual
Full Name MS. MARY LOUISE WENTWORTH
Credential M.S., A.R.N.P.
Practice Address 2649 Sw Arrowhead Rd.
Topeka
KS 66614
Mailing Address 11 Sw Pepper Tree Ln
Topeka
KS 66611-2056
Practice Telephone 7852330516
Practice Fax Number 7852333806
Mailing Telephone 7852330516
Mailing Fax Number 7852333806
Enumeration Date 2008-08-28
Last Update Date 2008-08-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0810X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Child & Family
14-35853-092 KS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 100385900A 05

Office Location

Street Address 2649 SW ARROWHEAD RD.
City TOPEKA
State KS
Zip Code 66614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396984027 Julie E Herron Psychologist 2649 Sw Arrowhead Rd., Topeka, KS 66614 2009-02-19

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Taxonomy Information

Taxonomy Code 364SP0810X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Child & Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083042956 Belinda Bagby Clinical Nurse Specialist 1600 N Lorraine St, Ste 202, Hutchinson, KS 67501-5670 2013-10-31

Competitor

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City TOPEKA
Zip Code 66614

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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