NPI 1184183436

Mark Andrew Randtke, CRNA

Practitioner Certified Registered Nurse Anesthetist Lees Summit, MO

Practice location

Address: 2100 SE Blue Pkwy, Lees Summit, MO 64063-1007
Phone: (816) 282-5000
Mailing address: 8717 W 110th St STE 600, Overland Park, KS 66210-2126

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 2020024635 (MO)

Other Nurse Anesthetist, Certified Registered providers in Missouri →

Registry record

NPI: 1184183436
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2019
Record last updated: 2 Sep 2020

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.