Heather Simmons Waddell CRNA

NPI 1366427858 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1366427858
Gender Female
Enumeration Date 12/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
MEDICAL CENTER BLVD
WINSTON SALEM NC, 27157-0001, US
Phone (336) 713-2555
Fax
Business Location
1035 NORMAN DR
KING NC, 27021-8387, US
Phone (336) 985-0461
Fax
Toxanomy
Taxonomy Code 367500000X
License State North Carolina
License Number 117142
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According to our database, Mrs. Heather Simmons Waddell CRNA NPI is 1366427858, taxonomy code is 367500000X and license number is 117142, license state is located at North Carolina. Heather Simmons Waddell CRNA physically located at Medical Center Blvd, Winston Salem NC, 27157-0001. NPI Number Heather Simmons Waddell CRNA has the Individual type.

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1366427858 NPI number is provided on an as is basis without warranty of any kind. 1366427858 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Simmons Waddell CRNA are for informational purposes only.