MEDICARE: EILEEN T JOYCE 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	54726	KS
2	367500000X	Certified Registered Nurse Anesthetist	2000161286	MO

General Provider Information

NPI Number	:	1497792782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EILEEN T JOYCE CRNA

Provider Business Mailing Address
First Line	:	16860 S HIGHLAND RIDGE DR
Second Line	:
City	:	VILLAGE OF LOCH LLOYD
State	:	MO
Zip	:	64012-4177
Country	:	US
Telephone Number	:	816-309-3179
Fax Number	:

Provider Business Practice Location Address
First Line	:	3651 COLLEGE BLVD
Second Line	:	ANESTHESIA DEPT
City	:	LEAWOOD
State	:	KS
Zip	:	66211-1904
Country	:	US
Telephone Number	:	816-389-6030
Fax Number	:	816-389-6034

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	02/06/2013

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Directions to “ EILEEN T JOYCE CRNA” Practice Location

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