Provider Demographics
NPI:1265958086
Name:SHURTZ, KARA ROSE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:ROSE
Last Name:SHURTZ
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 KEMP BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-2170
Mailing Address - Country:US
Mailing Address - Phone:940-234-3000
Mailing Address - Fax:940-249-9007
Practice Address - Street 1:3808 KEMP BLVD STE A
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2170
Practice Address - Country:US
Practice Address - Phone:940-234-3000
Practice Address - Fax:940-249-9007
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134866363LF0000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily