Individual
TISHA HOOGENDOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1701 E 23RD AVE, HUTCHINSON, KS 67502-9907
(620) 524-0799
Mailing address
1701 E 23RD AVE, HUTCHINSON, KS 67502-9907
(620) 524-0799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1385318
KS
367500000X
Certified Registered Nurse Anesthetist
147516
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557206
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085380A
—
KS
Enumeration date
05/01/2013
Last updated
01/23/2025
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