Healthcare Provider Details

I. General information

NPI: 1013609031
Provider Name (Legal Business Name): TEHREN ESPARZA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 W KANSAS AVE
GREENSBURG KS
67054-1633
US

IV. Provider business mailing address

721 W KANSAS AVE
GREENSBURG KS
67054-1633
US

V. Phone/Fax

Practice location:
  • Phone: 620-723-2127
  • Fax:
Mailing address:
  • Phone: 620-723-2127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-83200-111
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: