Individual
FARA E SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-3030
Mailing address
8080 E CENTRAL AVE, SUITE 250, WICHITA, KS 67206-2361
(316) 686-7327
(316) 686-1557
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55410
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200302760A
—
KS
Enumeration date
08/16/2005
Last updated
04/15/2013
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