Deborah Wilmoth CRNA

NPI 1003802794 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1003802794
Gender Female
Enumeration Date 09/27/2005
Last Updated 06/17/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
6119 MIDTOWN AVE
SUITE 201
LITTLE ROCK AR, 72205-5313, US
Phone (501) 664-4532
Fax (501) 663-4335
Business Location
6119 MIDTOWN AVE
SUITE 201
LITTLE ROCK AR, 72205-5313, US
Phone (501) 664-4532
Fax (501) 663-4335
Toxanomy
Taxonomy Code 367500000X
License State Arkansas
License Number C00459
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According to our database, Deborah Wilmoth CRNA NPI is 1003802794, taxonomy code is 367500000X and license number is C00459, license state is located at Arkansas. Deborah Wilmoth CRNA physically located at 6119 Midtown Ave, Little Rock AR, 72205-5313. NPI Number Deborah Wilmoth CRNA has the Individual type.

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1003802794 NPI number is provided on an as is basis without warranty of any kind. 1003802794 is maintained by the National Plan & Provider Enumeration System. The contents of Deborah Wilmoth CRNA are for informational purposes only.