Individual
JANET H SIUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3840 W 75TH STREET, PHYSICIANS SURGERY CENTER, PRAIRIE VILLAGE, KS 66208
(913) 384-9600
(931) 384-9646
Mailing address
PO BOX 413770, KANSAS CITY, MO 64141-3770
(913) 754-8508
(913) 647-0575
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54736
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002500606
—
KS
01
—
24743020
BLUE CROSS BLUE SHIELD
MO
Enumeration date
08/30/2006
Last updated
03/07/2020
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