Healthcare Provider Details

I. General information

NPI: 1720508237
Provider Name (Legal Business Name): BRYCE S SCOTT DNAP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2017
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 N ANDOVER RD
ANDOVER KS
67002-9527
US

IV. Provider business mailing address

822 N ANDOVER RD
ANDOVER KS
67002-9527
US

V. Phone/Fax

Practice location:
  • Phone: 316-247-5499
  • Fax: 316-351-5965
Mailing address:
  • Phone: 316-247-5499
  • Fax: 316-351-5965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number205199
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number2022017960
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number43-557502-101
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: