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NPI 1861476988

NPI 1861476988 : CATHERINE A WEITZEL RN ARNP : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1861476988
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE A WEITZEL RN ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/01/2005
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    10333 E 21ST ST N STE 204 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67206-3545
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    Country              |    US
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    Telephone            |    316-630-8444
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    Fax                  |    316-630-8449
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Provider Business Mailing Address
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    Address Line         |    10333 E 21ST ST N STE 204 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67206-3545
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    Country              |    US
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    Telephone            |    316-630-8444
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    Fax                  |    316-630-8449
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WP0807X
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    Taxonomy Name        |    Child & Adolescent Psychiatric/Mental Health Registered Nurse
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    License Number       |    14-58645-071
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    163WP0807X
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    Taxonomy Name        |    Child & Adolescent Psychiatric/Mental Health Registered Nurse
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    License Number       |    74833
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    License Number State |    KS
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Taxonomy #3
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    Taxonomy Code        |    364SP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    74833
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    License Number State |    KS
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