Individual
ELISA ANN OETTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
135264
MO
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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