Healthcare Provider Details

I. General information

NPI: 1801499553
Provider Name (Legal Business Name): ADVANCED PRACTICE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2020
Last Update Date: 11/17/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W CENTRAL AVE
EL DORADO KS
67042-2184
US

IV. Provider business mailing address

6800 COLLEGE BLVD STE 400
OVERLAND PARK KS
66211-1880
US

V. Phone/Fax

Practice location:
  • Phone: 800-903-2088
  • Fax:
Mailing address:
  • Phone: 800-903-2088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JASON BURK
Title or Position: OWNER
Credential:
Phone: 800-903-2088