Individual
ABBEY DIANE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1701 E 23RD AVE, HUTCHINSON, KS 67502-1105
(316) 680-5900
Mailing address
2805 E 56TH AVE, HUTCHINSON, KS 67502-8234
(316) 680-5900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55561
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145381
BLUE CROSS
KS
05
—
200425610B
—
KS
Enumeration date
03/15/2007
Last updated
12/08/2009
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