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General NPI Number Information
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NPI Number | 1710873963
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Entity Type | Individual
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Provider Name | COURTNEY MIES CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 6446 E CENTRAL AVE # 323
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City | WICHITA
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State | KS
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Zip | 67206-1923
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Country | US
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Telephone | 316-789-8444
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Fax |
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Provider Business Mailing Address
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Address Line | 9793 SW EUGENE RD
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City | AUGUSTA
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State | KS
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Zip | 67010-7912
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Country | US
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Telephone | 316-204-6536
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 558284
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License Number State | KS
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