Individual
SONIA SLABA
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
363LF0000X
Family Nurse Practitioner
53-45109
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-45109
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55557
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100372940B
—
KS
01
—
145404
BCBS KS
KS
01
—
P00398988
RR MEDICARE GROUP CQ2302
—
Enumeration date
01/11/2007
Last updated
12/14/2020
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