Individual
STACI M RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3901 RAINBOW BLVD, 2026 DELP PAVILION MAIL STOP 2020, KANSAS CITY, KS 66160
(913) 588-6619
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160
(913) 588-6612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54684
KS
Other
Enumeration date
12/13/2006
Last updated
07/09/2007
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