Ruth Diana Wile CRNA

NPI 1639107600 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1639107600
Gender Female
Enumeration Date 06/29/2006
Last Updated 05/06/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE GA, 30045-7694, US
Phone (770) 963-9905
Fax
Business Location
PO BOX 669
LAWRENCEVILLE GA, 30046-0669, US
Phone (770) 963-9905
Fax
Toxanomy
Taxonomy Code 367500000X
License State Georgia
License Number RN084357
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According to our database, Ruth Diana Wile CRNA NPI is 1639107600, taxonomy code is 367500000X and license number is RN084357, license state is located at Georgia. Ruth Diana Wile CRNA physically located at 1000 Medical Center Blvd, Lawrenceville GA, 30045-7694. NPI Number Ruth Diana Wile CRNA has the Individual type.

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1639107600 NPI number is provided on an as is basis without warranty of any kind. 1639107600 is maintained by the National Plan & Provider Enumeration System. The contents of Ruth Diana Wile CRNA are for informational purposes only.