Individual
MISS REBECCA RENE' BOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-5360
(913) 674-2013
Mailing address
810 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-5360
(913) 674-2013
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60246708
WA
Other
Enumeration date
09/06/2011
Last updated
04/14/2020
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