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NPI Code Detail

MEDICARE: SHERYL R. BASTIAN CRNA

MEDICARE: SHERYL R. BASTIAN CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1348938071KS
2367500000XCertified Registered Nurse Anesthetist54652KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00361746OTHERKSRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912975798
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERYL R. BASTIAN CRNA
Provider Business Mailing Address
First Line : 20375 W 151ST ST
Second Line : SUITE 306
City : OLATHE
State : KS
Zip : 66061-5306
Country : US
Telephone Number : 913-782-2292
Fax Number : 913-782-2381
Provider Business Practice Location Address
First Line : 20375 W 151ST ST
Second Line : SUITE 306
City : OLATHE
State : KS
Zip : 66061-5306
Country : US
Telephone Number : 913-782-2292
Fax Number : 913-782-2381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 03/03/2014

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Directions to “ SHERYL R. BASTIAN CRNA” Practice Location

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