Individual
MELISSA K SPOTTEDHORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(844) 468-9498
(855) 630-1302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55078
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100424380A
—
KS
Enumeration date
08/16/2005
Last updated
07/21/2022
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