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NPI Code Detail

MEDICARE: MARY ANN WESTHUES CRNA

MEDICARE: MARY ANN WESTHUES 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
1367500000XCertified Registered Nurse Anesthetist083111MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982611539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ANN WESTHUES CRNA
Provider Business Mailing Address
First Line : 1209 NW NORTH RIDGE DR STE B
Second Line : ANESTHESIA SERVICES OF BLUE SPRINGS
City : BLUE SPRINGS
State : MO
Zip : 64015-6320
Country : US
Telephone Number : 816-988-8415
Fax Number : 816-988-8395
Provider Business Practice Location Address
First Line : 1209 NW NORTH RIDGE DR STE B
Second Line : ANESTHESIA SERVICES OF BLUE SPRINGS
City : BLUE SPRINGS
State : MO
Zip : 64015-6320
Country : US
Telephone Number : 816-988-8415
Fax Number : 816-988-8395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 07/06/2016

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1417057928 — KAREN L. GRAYBILL CRNA
Practice Location Address:
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64015-6320
Practice Phone: 816-988-8415
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