MEDICARE: RENEE BAILEY ARMSTRONG 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
1	367500000X	Certified Registered Nurse Anesthetist	2013030177	MO
2	367500000X	Certified Registered Nurse Anesthetist	43-557196-021	KS

General Provider Information

NPI Number	:	1396179180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE BAILEY ARMSTRONG CRNA

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MAILSTOP: 4017
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-7816
Country	:	US
Telephone Number	:	913-588-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MAILSTOP: 4017
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-7816
Country	:	US
Telephone Number	:	913-588-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2013
Last Update Date	:	09/19/2013

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