Susan Kay Wangler, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Scranton, KS
NPI 1346443777 · NPPES record last updated Nov 4, 2011
Key facts
- NPI
- 1346443777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 75095 (KS)
- Practice address
- 3442 W 141St St
Scranton, KS 66537-9444 - Phone
- (785) 338-0031
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0607135 | AZ | MD | Adult Health Nurse Practitioner |
| 75095 | KS | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | A0607135 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | 75095 | KS | Yes |
Addresses
Primary practice location
3442 W 141St St
Scranton, KS 66537-9444
Mailing address
3442 W 141St St
Scranton, KS 66537-9444
Phone (785) 338-0031
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.