Most Relevant Information
Provider Data
| NPI Number: | 1003355322 |
| Provider Name: | RANDYN WERTZ NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2017004799 |
Most Important Dates
| Enumeration Date: | 02/20/2017 |
| Last Updated: | 02/20/2017 |
Provider Practice Location
7130 WORNALL RD
KANSAS CITY
MO
641141344
Practice Location Phone/Fax
| Phone: | 8165239355 |
| Fax: | 8165239358 |
Provider Mailing Location
7130 WORNALL RD
KANSAS CITY
MO
641141344
Provider Mailing Phone/Fax
| Phone: | 8165239355 |
| Fax: | 8165239358 |