Provider Demographics
NPI:1619949393
Name:POCE, RITA M (CRNA)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:M
Last Name:POCE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20305 W 94TH TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-3648
Mailing Address - Country:US
Mailing Address - Phone:913-568-1128
Mailing Address - Fax:
Practice Address - Street 1:20305 W 94TH TER
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66220-3648
Practice Address - Country:US
Practice Address - Phone:913-568-1128
Practice Address - Fax:913-390-9911
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS54455367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO27861111OtherBLUE SHIELD OF KANSAS CITY