Individual
TAMARA SIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16321 STILLWELL RD, BONNER SPRINGS, KS 66012
(913) 669-3345
Mailing address
8440 WEA ST, DE SOTO, KS 66018-8378
(913) 669-3345
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2014028449
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
557437
KS
Other
Enumeration date
09/18/2014
Last updated
12/19/2019
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