Lisa M Anderson, CRNA
Nurse Anesthetist, Certified Registered in Wichita, KS. Individual provider (NPI-1).
NPI number1922234137
StatusActive
Last updated in NPPESNov 5, 2009
Details
- NPI
- 1922234137
- Entity type
- Individual (NPI-1)
- Name
- Lisa M Anderson
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2009
- Last updated
- Nov 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 556899 | KS | Yes |
| 163W00000X | Registered Nurse | 1396137051 | KS | |
| 367500000X | Nurse Anesthetist, Certified Registered | 139567 | KS | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Lisa M Slavens (Former Name)
Practice location
929 N Saint Francis StWichita, KS 67214-3821
Phone 316-268-5000
Mailing address
Po Box 2897Wichita, KS 67201-2897
Phone 800-374-5326 · Fax 800-374-7656
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