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NPI Code Detail

MEDICARE: LUISE AUGUSTA BALFANZ CRNA

MEDICARE: LUISE AUGUSTA BALFANZ CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist54943KS
2367500000XCertified Registered Nurse Anesthetist098620MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00982348OTHERKSRAILROAD MEDICARE PTAN
2P01026702OTHERMORAILROAD MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386695005
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUISE AUGUSTA BALFANZ CRNA
Provider Business Mailing Address
First Line : 2700 CLAY EDWARDS DR STE 240
Second Line :
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3254
Country : US
Telephone Number : 816-691-2021
Fax Number : 816-346-7690
Provider Business Practice Location Address
First Line : 2700 CLAY EDWARDS DR STE 240
Second Line :
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3254
Country : US
Telephone Number : 816-691-2021
Fax Number : 816-346-7690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 12/14/2019

Similar Medicare Providers

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Practice Location Address:
2700 CLAY EDWARDS DR STE 240
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1548766223 — DR. LANCE AARON SCHELL MD
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1659357044 — LITHENA L. SKRDLA-VAN DUSEN CRNA
Practice Location Address:
2700 CLAY EDWARDS DR STE 240
NORTH KANSAS CITY, MO
64116-3254
Practice Phone: 816-691-2021
Practice Fax: 816-346-7690
1699723924 — DR. CHARLES H VOSSLER III MD
Practice Location Address:
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Practice Fax: 816-346-7690
1326074451 — MRS. LISA MAE NEWMAN CRNA
Practice Location Address:
2700 CLAY EDWARDS DR STE 240
NORTH KANSAS CITY, MO
64116-3254
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Practice Fax: 816-346-7690
1588761035 — MR. PAUL ALAN LONG CRNA
Practice Location Address:
2700 CLAY EDWARDS DR STE 240
NORTH KANSAS CITY, MO
64116-3254
Practice Phone: 816-691-2021
Practice Fax: 816-346-7690

Directions to “ LUISE AUGUSTA BALFANZ CRNA” Practice Location

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