Individual
TAMARA LYNETTE ROTHENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1515 S CLIFTON AVE STE 200, WICHITA, KS 67218-2958
(316) 618-1515
(316) 618-8635
Mailing address
1515 S CLIFTON AVE STE 200, WICHITA, KS 67218-2958
(316) 618-1515
(316) 618-8635
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
556985
KS
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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