Provider Demographics
NPI:1205907904
Name:HITE, AMY L (ARNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:HITE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:MAURER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1065 S 160TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-6840
Mailing Address - Country:US
Mailing Address - Phone:620-457-8057
Mailing Address - Fax:
Practice Address - Street 1:200 E CENTENNIAL DR
Practice Address - Street 2:SUITE 3 & 4
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-6559
Practice Address - Country:US
Practice Address - Phone:620-231-8003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45095363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP24603Medicare UPIN