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: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 W 8TH ST
KINSLEY KS
67547-2329
US

IV. Provider business mailing address

PO BOX 99
KINSLEY KS
67547-0099
US

V. Phone/Fax

Practice location:
  • Phone: 620-659-3651
  • Fax: 620-659-3869
Mailing address:
  • Phone: 620-659-3651
  • Fax: 620-659-3869

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: