Individual
LUISE AUGUSTA BALFANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
098620
MO
367500000X
Certified Registered Nurse Anesthetist
54943
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100393220B
—
KS
05
—
915291215
—
MO
01
—
P00982348
RAILROAD MEDICARE PTAN
KS
01
—
P01026702
RAILROAD MEDICARE PTAN
MO
Enumeration date
05/15/2006
Last updated
12/14/2019
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