Individual
ELAINE ROSE SOPTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2230
(913) 632-2297
Mailing address
3015 W 50TH ST, WESTWOOD, KS 66205-1736
(316) 207-6816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
123756
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557885
KS
Other
Enumeration date
04/06/2021
Last updated
07/01/2021
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