Beverly B. Wyka CRNA

NPI 1073572442 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1073572442
Gender Female
Enumeration Date 03/22/2006
Last Updated 09/20/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
COLUMBIA SC, 29203-8000, US
Phone (803) 434-2979
Fax (803) 434-7038
Business Location
PO BOX 1928
COLUMBIA SC, 29202-1928, US
Phone (803) 454-2613
Fax (803) 765-1732
Taxonomy Code 367500000X
License State South Carolina
License Number 1916
Remove 1073572442 NPI Number

According to our database, Beverly B. Wyka CRNA NPI is 1073572442, taxonomy code is 367500000X and license number is 1916, license state is located at South Carolina. Beverly B. Wyka CRNA physically located at 5 Richland Medical Park, Columbia SC, 29203-8000. NPI Number Beverly B. Wyka CRNA has the Individual type.

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1073572442 NPI number is provided on an as is basis without warranty of any kind. 1073572442 is maintained by the National Plan & Provider Enumeration System. The contents of Beverly B. Wyka CRNA are for informational purposes only.