Julie Crotts, APRN

Individual provider Active NPI Family Nurse Practitioner · Minneola, KS

NPI 1346692019 · NPPES record last updated Jul 6, 2016

Key facts

NPI
1346692019
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
77265 (KS)
Practice address
222 Main St
Minneola, KS 67865
Phone
(620) 885-4202
Fax
(620) 885-4805
NPI assigned
Jul 6, 2016
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

LicenseStateTypeSpecialty
77265KSMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 77265 KS Yes

Addresses

Primary practice location

222 Main St
Minneola, KS 67865

Mailing address

222 Main St
PO Box 127
Minneola, KS 67865
Phone (620) 885-4202

Other providers in Minneola, KS

All providers in Minneola, KS · Family Nurse Practitioner in Kansas

Sources for this page

Verify at the official NPI Registry.