MEDICARE: MRS. KRISTIN L GOETZ APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	53-76274-041	KS
2	163WE0003X	Emergency Registered Nurse	13-109121-041	KS

General Provider Information

NPI Number	:	1255746384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTIN L GOETZ APRN

Provider Business Mailing Address
First Line	:	100 S LINCOLN ST
Second Line	:
City	:	ARLINGTON
State	:	KS
Zip	:	67514-1431
Country	:	US
Telephone Number	:	620-860-9490
Fax Number	:	316-395-1139

Provider Business Practice Location Address
First Line	:	100 S LINCOLN ST
Second Line	:
City	:	ARLINGTON
State	:	KS
Zip	:	67514-1431
Country	:	US
Telephone Number	:	620-860-9490
Fax Number	:	316-395-1139

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2014
Last Update Date	:	09/23/2025

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