Provider Demographics
NPI:1285612218
Name:SEEVER, JANICE M (CRNA)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:M
Last Name:SEEVER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MISS
Other - First Name:JANICE
Other - Middle Name:M
Other - Last Name:LAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:4801 CLIFF AVE
Mailing Address - Street 2:STE 100 ADMINISTRATION
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055
Mailing Address - Country:US
Mailing Address - Phone:816-350-4536
Mailing Address - Fax:816-350-4585
Practice Address - Street 1:4801 CLIFF AVE
Practice Address - Street 2:STE 101
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055
Practice Address - Country:US
Practice Address - Phone:816-478-4400
Practice Address - Fax:816-478-8240
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO111100367500000X
KS54567367500000X
KS1459427111367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
430056098OtherRAILROAD MEDICARE
MO4064801Medicare PIN
430056098OtherRAILROAD MEDICARE
KS4064801BMedicare PIN