Individual
SHANNA TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2000
Mailing address
12106 W 167TH TER, OVERLAND PARK, KS 66221-7161
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2015020549
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557625-121
KS
Other
Enumeration date
04/17/2015
Last updated
02/26/2025
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