Provider Demographics
NPI:1518453182
Name:DAVIS, ANITA SAUERWEIN (RN, APRN, CCM)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:SAUERWEIN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:RN, APRN, CCM
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:GAY
Other - Last Name:SAUERWEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4500 NW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-9769
Mailing Address - Country:US
Mailing Address - Phone:316-215-2270
Mailing Address - Fax:866-894-3087
Practice Address - Street 1:1 CESSNA BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67215-1400
Practice Address - Country:US
Practice Address - Phone:316-517-6632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-07
Last Update Date:2018-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-47075-051163WX0106X
KS74187364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health