Individual
NATHAN R MCNIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 685-6091
Mailing address
PO BOX 47890, WICHITA, KS 67201-7890
(316) 685-6091
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
103772
KS
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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