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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMAN MATTOX, RN

Active

IMAN MATTOX, RN is a Certified Nurse Anesthetist (CRNA) healthcare provider located in WICHITA, Kansas. NPI 1417613985 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · WICHITA, KS

Registration Details

NPI Number
1417613985
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2021 (4.7488955342176 yrs)
Last Updated
Jan 22, 2025
Licenses
95199822 (CA)
558169 (KS)

Practice Information

Address
8080 E CENTRAL AVE STE 250
WICHITA, KS, 67206
Browse KS providers · Browse ZIP 67206
Phone
3166867327
Fax
3166861557
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in WICHITA, KS

Name Credential NPI
LISA E BURR CRNA 1528050796
MELISSA K SPOTTEDHORSE CRNA 1205828480
REBECCA L LUCKE CRNA 1801888094
MARNA J ATKINSON CRNA 1083606271
PAMELA K HORSCH CRNA 1336131515
JUDY D PARK CRNA 1770575953
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.