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NPI Code Detail

MEDICARE: BRANDI E. HUFFSTUTTER CRNA

MEDICARE: BRANDI E. HUFFSTUTTER 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 Anesthetist100390KS

General Provider Information

NPI Number : 1891999249
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDI E. HUFFSTUTTER CRNA
Provider Business Mailing Address
First Line : 35 W 69TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-2501
Country : US
Telephone Number : 816-682-8032
Fax Number :
Provider Business Practice Location Address
First Line : 8935 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-1645
Country : US
Telephone Number : 913-334-8935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 11/23/2020

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