Organization
ICD8U ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SCHWARZ CRNA (NURSE ANESTHETIST)
(785) 840-5855
Entity
Organization
Contact information
Practice address
3630 SW FAIRLAWN RD, TOPEKA, KS 66614-3966
(785) 273-8080
Mailing address
3701 SW KINGS FOREST RD, TOPEKA, KS 66610-1556
(785) 840-5855
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-55189-092
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000145012
BCBS
KS
01
—
P00109578
RAILROAD
KS
Enumeration date
01/23/2017
Last updated
01/23/2017
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