NPI 1083785695

Amy Jo Masiongale, CRNA

Practitioner Certified Registered Nurse Anesthetist Lees Summit, MO

Practice location

Address: 2100 SE Blue Pkwy, Lees Summit, MO 64063
Phone: (913) 428-2900
Fax: (913) 428-2951
Mailing address: 8717 W 110th St STE 600, Overland Park, KS 66210-2126

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 2018044045 (MO)

Other Nurse Anesthetist, Certified Registered providers in Missouri →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 43-557644 (KS)

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN101263 (GA)

Registry record

NPI: 1083785695
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2006
Record last updated: 18 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.