Individual
MIRANDA ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8080 E CENTRAL, SUITE 250, WICHITA, KS 67206-2327
(316) 686-7327
(316) 686-1557
Mailing address
8080 E CENTRAL, SUITE 250, WICHITA, KS 67206-2327
(316) 686-7327
(316) 686-1557
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
TMP-149639
KS
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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