Healthcare Provider Details

I. General information

NPI: 1104886050
Provider Name (Legal Business Name): DANIEL SEARING CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 11/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 N 2ND ST
CLINTON MO
64735-1192
US

IV. Provider business mailing address

PO BOX 804408
KANSAS CITY MO
64180-0001
US

V. Phone/Fax

Practice location:
  • Phone: 660-885-5511
  • Fax:
Mailing address:
  • Phone: 816-461-8288
  • Fax: 816-461-6586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number094428
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: