Individual
CHRISTITA S WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6910 GLEASON RD, SHAWNEE, KS 66226-3548
(913) 579-5101
Mailing address
6910 GLEASON RD, SHAWNEE, KS 66226-3548
(913) 579-5101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54309
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252770A
—
KS
01
—
21856021
BCBS KANSAS CITY
MO
05
—
917913808
—
MO
Enumeration date
12/27/2006
Last updated
03/02/2014
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