Wentworth, Mary Louise

Wentworth, Mary Louise is an sole proprietor health care provider with primary practice located at 2649 Sw Arrowhead Rd. , Topeka KS 66614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, which is considered as her primary health care specialty. Wentworth, Mary Louise can be contacted via phone (785) 233-0516.

Contact Information

Primary practice address
2649 Sw Arrowhead Rd. Topeka KS 66614
Phone: (785) 233-0516
Fax: (785) 233-3806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family 364SP0810X 14-35853-092 Kansas

Profile Details

NPI number 1518115872
LBN Legal business name Wentworth, Mary Louise
Credentials M.S., A.R.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2008
Last updated Aug 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518115872 NPPES
Kansas MEDICAID 100385900A

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