Individual
MABEL TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
(316) 291-4272
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(800) 374-5326
(800) 374-7656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14108820041
KS
163W00000X
Registered Nurse
570789
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
557039
KS
390200000X
Student in an Organized Health Care Education/Training Program
14108820041
KS
Other
Enumeration date
06/17/2011
Last updated
09/28/2011
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