Provider Demographics
NPI:1821612730
Name:SAIDI, PETRA (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:PETRA
Middle Name:
Last Name:SAIDI
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9727 BELINDER RD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-2242
Mailing Address - Country:US
Mailing Address - Phone:913-709-0031
Mailing Address - Fax:
Practice Address - Street 1:9727 BELINDER RD
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-2242
Practice Address - Country:US
Practice Address - Phone:913-709-0031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS99130163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
L125667OtherIBCLC
KS99130OtherRN