Individual
SHERYL R. BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
20375 W 151ST ST, SUITE 306, OLATHE, KS 66061-5306
(913) 782-2292
(913) 782-2381
Mailing address
20375 W 151ST ST, SUITE 306, OLATHE, KS 66061-5306
(913) 782-2292
(913) 782-2381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1348938071
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
54652
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200374500A
—
KS
01
—
P00361746
RR MEDICARE
KS
Enumeration date
03/09/2006
Last updated
03/03/2014
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