Healthcare Provider Details

I. General information

NPI: 1477055705
Provider Name (Legal Business Name): AMY ELIZABETH WINDSOR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2018
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12345 W 95TH ST FL 2
LENEXA KS
66215-3853
US

IV. Provider business mailing address

2933 N PENSTEMON ST
WICHITA KS
67226-1828
US

V. Phone/Fax

Practice location:
  • Phone: 574-546-1900
  • Fax: 574-546-1999
Mailing address:
  • Phone: 316-208-6194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number78095
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: