Individual
MRS. PEGAH VAHDAT HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
945 W THREEWOOD CT, ANDOVER, KS 67002-4401
(515) 339-6994
Mailing address
945 W THREEWOOD CT, ANDOVER, KS 67002-4401
(515) 339-6994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
114627
IA
367500000X
Certified Registered Nurse Anesthetist
43-557133-031
KS
Other
Enumeration date
03/19/2009
Last updated
09/16/2025
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