Individual
JASON M WERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(800) 410-6030
Mailing address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(800) 410-6030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
55472
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55472
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032044
BCBS OF IL
IL
05
—
200363480A
—
KS
Enumeration date
04/11/2006
Last updated
03/04/2021
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