Individual
LITHENA L. SKRDLA-VAN DUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
100938
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
2007028642
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248478
MIDLANDS CHOICE
NE
05
—
470653569-15
—
NE
01
—
P00299865
RR MEDICARE
NE
01
—
P00612249
RAILROAD MEDICARE
—
Enumeration date
12/19/2005
Last updated
12/14/2019
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