Provider Demographics
NPI:1679799084
Name:FRITZ, KAREN LUNDGREN (APRN, CNM)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LUNDGREN
Last Name:FRITZ
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ESTELLE
Other - Last Name:FRITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, CNM
Mailing Address - Street 1:26078 W 220TH TER
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:KS
Mailing Address - Zip Code:66083-9405
Mailing Address - Country:US
Mailing Address - Phone:913-592-3137
Mailing Address - Fax:
Practice Address - Street 1:9209 W 110TH ST
Practice Address - Street 2:#36
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1401
Practice Address - Country:US
Practice Address - Phone:913-735-4888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS74545364SW0102X
KS64073367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health