Individual
MRS. ELIZABETH ANN NIEDERWERDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(913) 428-2951
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
145099
KS
163W00000X
Registered Nurse
2018023566
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2019002283
MO
Other
Enumeration date
12/01/2018
Last updated
01/28/2019
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