Individual
NANCY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 789-8444
(316) 652-0340
Mailing address
PO BOX 47890, WICHITA, KS 67201-7890
(316) 685-6112
(316) 652-0340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54313
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014812
BCBS
KS
05
—
100302330A
—
KS
01
—
430039266
RAILROAD MEDICARE
KS
Enumeration date
02/28/2006
Last updated
03/23/2012
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