Individual
LISA MARIE CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214
(844) 468-9498
(855) 630-1302
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(844) 468-9498
(855) 630-1302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
557116
KS
367500000X
Certified Registered Nurse Anesthetist
APN.0990778-CRNA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17755549
—
CO
05
—
200965660B
—
KS
01
—
P01509061
RR MEDICARE
CO
01
—
P01961789
RR MEDICARE
KS
Enumeration date
05/17/2012
Last updated
07/13/2022
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