Individual
DANIEL E ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-121312-021
KS
363LP0200X
Pediatric Nurse Practitioner
C183849
IA
363LP0222X
Critical Care Pediatric Nurse Practitioner
53-83869-021
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
2019017174
MO
367500000X
Certified Registered Nurse Anesthetist
43-557689-021
KS
367500000X
Certified Registered Nurse Anesthetist
D158561
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019017174
MISSOURI CRNA LICENSE
MO
01
—
43-557689-021
KANSAS CRNA LICENSE
KS
01
—
53-83869-021
KANSAS NP LICENSE
KS
01
—
C183849
IOWA NP LICENSE
IA
01
—
D158561
IOWA CRNA LICENSE
IA
Enumeration date
03/05/2019
Last updated
04/24/2026
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