Healthcare Provider Details

I. General information

NPI: 1174204630
Provider Name (Legal Business Name): ZOEY WANDS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W PROUT ST
HILL CITY KS
67642-1447
US

IV. Provider business mailing address

207 W PROUT ST
HILL CITY KS
67642-1447
US

V. Phone/Fax

Practice location:
  • Phone: 785-421-2191
  • Fax:
Mailing address:
  • Phone: 785-421-2191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-85686-072
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number131398
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: