IndividualActive
Caitlin Clark, CRNA
NPI 1093285017 · Certified Registered Nurse Anesthetist · Shawnee Mission, KS
Provider details
- NPI number
- 1093285017
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 119760 (KS)
Practice location
9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone: (913) 632-2230
Fax: (913) 632-2297
Mailing address
Po Box 411895
Kansas City, MO 64141-1895
Registry dates
- Enumerated
- 2018-12-03
- Last updated
- 2019-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.