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Individual

MARY MICHELE SUNSHINE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
505 POPE AVE, FORT LEAVENWORTH, KS 66027-2333
(913) 684-6230
Mailing address
13000 UNION RD, MC LOUTH, KS 66054-5022
(913) 796-6221
(913) 796-6201

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54545
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39865
AANA CERTIFICATION
Enumeration date
11/10/2005
Last updated
07/08/2007
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