Individual
ANGELA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8740 NIEMAN RD, OVERLAND PARK, KS 66214-1741
(913) 894-4050
(913) 428-2951
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13-112223-062
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557709
KS
Other
Enumeration date
05/07/2019
Last updated
04/08/2026
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