Drew Carson Wilson CRNA

NPI 1023016409 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1023016409
Gender Male
Enumeration Date 07/11/2005
Last Updated 01/28/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
BOSTON MA, 02130-3446, US
Phone (617) 983-7000
Business Location
1916 PIKE PL
SEATTLE WA, 98101-1056, US
Phone (207) 415-6111
Taxonomy Code 367500000X
License State Texas
License Number 650851
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According to our database, Drew Carson Wilson CRNA NPI is 1023016409, taxonomy code is 367500000X and license number is 650851, license state is located at Texas. Drew Carson Wilson CRNA physically located at 1153 Centre St, Boston MA, 02130-3446. NPI Number Drew Carson Wilson CRNA has the Individual type.

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1023016409 NPI number is provided on an as is basis without warranty of any kind. 1023016409 is maintained by the National Plan & Provider Enumeration System. The contents of Drew Carson Wilson CRNA are for informational purposes only.