Individual provider · Type 1 NPI

Jordan Gertz

Administrator Registered Nurse · Leavenworth, KS

NPI number 1174438501 Active

Practice location

4101 S 4th St
Leavenworth, KS 66048-5014

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000X2018019236 (MO)

Administrator Registered Nurse: Definition to come...

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About NPI 1174438501

Jordan Gertz's National Provider Identifier is 1174438501, issued on Aug 18, 2026. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Leavenworth, KS. The record was last updated on Aug 18, 2026.