Organization · Type 2 NPI

Anesthesia & Pain Management

Certified Registered Nurse Anesthetist · Overland Park, KS

NPI number 1386747863 Active

Practice location

8800 Ballentine
Overland Park, KS 66214

Call (913) 894-0384 Map

Mailing address

940 West Port Plaza, Ste 270
St. Louis, MO 63146

Specialties and licenses

Taxonomy	Code	License
Pain Medicine (Anesthesiology) Physician	207LP2900X	None listed
Certified Registered Nurse Anesthetist Primary	367500000X	None listed

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

5 other providers at this address

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About NPI 1386747863

Anesthesia & Pain Management's National Provider Identifier is 1386747863, issued on Sep 7, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Overland Park, KS. The record was last updated on Sep 11, 2025.