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Individual

ANGELA H SPERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2230
(913) 632-2297
Mailing address
PO BOX 411895, KANSAS CITY, MO 64141-1895
(913) 632-2230
(913) 632-2297

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
139085
KS
163W00000X
Registered Nurse
2017002769
MO
367500000X
Certified Registered Nurse Anesthetist
2017010131
MO
367500000X
Certified Registered Nurse Anesthetist
397034
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
557468
KS
367500000X
Certified Registered Nurse Anesthetist
RN2282545
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201122090A
KS
01
57876022
BCBS KC
KS
01
57876042
BCBS KC
MO
05
910051443
MO
01
P02116101
RAILROAD
MO
Enumeration date
12/06/2012
Last updated
11/24/2020
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