Individual
AMANDA M CANADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 MEDICAL CENTER DR, NEWTON, KS 67114-8780
(216) 281-3700
Mailing address
600 MEDICAL CENTER DR, NEWTON, KS 67114-8780
(316) 283-2700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
682127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092543
RE-CERT #
—
01
—
145437
BCBS
KS
05
—
172351201
—
TX
05
—
200050380A
—
OK
05
—
200423560A
—
KS
01
—
84799U
BCBS PROV #
TX
Enumeration date
03/02/2006
Last updated
08/26/2008
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