Healthcare Provider Details

I. General information

NPI: 1801078308
Provider Name (Legal Business Name): ERIN ULERY FEITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MICHELLE ULERY

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5675 ROE BLVD STE 260
ROELAND PARK KS
66205-2515
US

IV. Provider business mailing address

5675 ROE BLVD STE 260
ROELAND PARK KS
66205-2515
US

V. Phone/Fax

Practice location:
  • Phone: 913-676-2622
  • Fax: 913-676-2623
Mailing address:
  • Phone: 913-676-2622
  • Fax: 913-676-2623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number773400
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2006033732
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-91785-071
License Number StateKS
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number46135
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number773400
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2006033732
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: