Provider Demographics
NPI:1225364185
Name:WERTZ, KIRSTEN A (APRN)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:A
Last Name:WERTZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4451 N 26TH ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-4142
Mailing Address - Country:US
Mailing Address - Phone:402-476-2600
Mailing Address - Fax:402-476-2604
Practice Address - Street 1:4451 N 26TH ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4142
Practice Address - Country:US
Practice Address - Phone:402-476-2600
Practice Address - Fax:402-476-2604
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110709363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily