Healthcare Provider Details

I. General information

NPI: 1134599988
Provider Name (Legal Business Name): KRISTEN LYNNE HITZ MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN LYNNE SHULTS

II. Dates (important events)

Enumeration Date: 10/05/2015
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 E SPRUCE ST
GARDEN CITY KS
67846-5614
US

IV. Provider business mailing address

311 E SPRUCE ST
GARDEN CITY KS
67846-5614
US

V. Phone/Fax

Practice location:
  • Phone: 620-275-3780
  • Fax: 620-271-3114
Mailing address:
  • Phone: 620-277-8553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-82932-092
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP129377
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0003337C-NP
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number82932
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberC-APN.0003337C-NP
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberC-APN.0003337C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: