Individual
MS. ANUCIA SIVARATNAM JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6000 LAMAR AVE, SUITE 130, MISSION, KS 66202-3234
(913) 826-1537
(913) 826-1594
Mailing address
6315 COOPER ST, SHAWNEE, KS 66218-9222
(913) 568-4373
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
261QM0801X
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174513444
JCMHC
KS
Enumeration date
10/25/2011
Last updated
10/08/2014
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