Provider Demographics
NPI:1538827928
Name:WALDENMEYER, ULRICH JOSEPH (CRNA)
Entity type:Individual
Prefix:MR
First Name:ULRICH
Middle Name:JOSEPH
Last Name:WALDENMEYER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 W 139TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3915
Mailing Address - Country:US
Mailing Address - Phone:913-220-7020
Mailing Address - Fax:
Practice Address - Street 1:2711 W 139TH ST
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66224-3915
Practice Address - Country:US
Practice Address - Phone:913-220-7020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX882985163W00000X
TX1065206367500000X
MO2022038676367500000X
KS43-558018-021367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse