Individual
MRS. ELIZABETH A DEPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10720 NALL AVE, OVERLAND PARK, KS 66211-1206
(913) 754-5000
(913) 754-4560
Mailing address
10720 NALL AVE, OVERLAND PARK, KS 66211-1206
(913) 754-5000
(913) 754-4560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1456771112
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55124
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200355380C
—
KS
01
—
P00619216
RR MEDICARE
KS
Enumeration date
07/03/2006
Last updated
06/29/2010
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