Healthcare Provider Details

I. General information

NPI: 1518453182
Provider Name (Legal Business Name): ANITA SAUERWEIN DAVIS RN, APRN, CCM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANITA GAY SAUERWEIN RN

II. Dates (important events)

Enumeration Date: 07/07/2018
Last Update Date: 07/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CESSNA BLVD
WICHITA KS
67215-1400
US

IV. Provider business mailing address

4500 NW 24TH ST
NEWTON KS
67114-9769
US

V. Phone/Fax

Practice location:
  • Phone: 316-517-6632
  • Fax:
Mailing address:
  • Phone: 316-215-2270
  • Fax: 866-894-3087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License Number74187
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number13-47075-051
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: