Healthcare Provider Details

I. General information

NPI: 1952726416
Provider Name (Legal Business Name): MINDY M. PLOST CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MINDY M. MARKER CRNA

II. Dates (important events)

Enumeration Date: 02/20/2014
Last Update Date: 10/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20375 W 151ST ST SUITE 306
OLATHE KS
66061-5306
US

IV. Provider business mailing address

PO BOX 843018
KANSAS CITY MO
64184-3018
US

V. Phone/Fax

Practice location:
  • Phone: 913-782-2292
  • Fax: 913-782-2381
Mailing address:
  • Phone: 913-782-2292
  • Fax: 913-782-2381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number105207
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number557250
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: