Individual
ERICA J PEREZ
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
(800) 374-5326
(800) 374-7656
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
1394841031
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557017
KS
367500000X
Certified Registered Nurse Anesthetist
TMP 143047
KS
390200000X
Student in an Organized Health Care Education/Training Program
1394841031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200727360A
—
KS
Enumeration date
03/02/2011
Last updated
06/13/2012
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