Breanna Allender, CRNA
Nurse Anesthetist, Certified Registered in Wichita, KS. Individual provider (NPI-1).
NPI number1669828505
StatusActive
Last updated in NPPESJan 25, 2017
Details
- NPI
- 1669828505
- Entity type
- Individual (NPI-1)
- Name
- Breanna Allender
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2016
- Last updated
- Jan 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 557452 | KS | Yes |
| 163W00000X | Registered Nurse | 115426 | KS |
Other names
- Breanna Renea Gross (Former Name)
Practice location
929 N Saint Francis StWichita, KS 67214-3821
Phone 316-268-5000 · Fax 316-291-4272
Mailing address
Po Box 2897Wichita, KS 67201-2897
Phone 877-649-7812 · Fax 918-392-2941
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