Healthcare Provider Details

I. General information

NPI: 1831194810
Provider Name (Legal Business Name): LAUREN E DUERR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN E WRIGHT APRN

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 08/03/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S HILLSIDE ST
WICHITA KS
67211-2129
US

IV. Provider business mailing address

310 S HILLSIDE ST
WICHITA KS
67211-2129
US

V. Phone/Fax

Practice location:
  • Phone: 316-264-3505
  • Fax: 316-264-0908
Mailing address:
  • Phone: 316-264-3505
  • Fax: 316-264-0908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number74397
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number53-74397-111
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: