Provider Demographics
NPI:1720271018
Name:DREES, MARCI J (CRNA)
Entity type:Individual
Prefix:
First Name:MARCI
Middle Name:J
Last Name:DREES
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:MARCI
Other - Middle Name:J
Other - Last Name:ROBISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 47890
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-7890
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3450 N ROCK RD
Practice Address - Street 2:STE 208
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-1327
Practice Address - Country:US
Practice Address - Phone:316-685-6091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-87593-122367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
145966Medicare PIN