# RONNIE JAY WING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013974369
- **Gender:** Man
- **Credential:** CRNA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 824627 | NV | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | AP61066966 | WA | — |
| 367500000X | Certified Registered Nurse Anesthetist | CRNA000228 | NV | — |

## Other

- **Enumeration date:** 04/28/2006
- **Last updated:** 06/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002404030 | — | NV |
| 05 | — | 2157457 | — | WA |
| 01 | — | P00003556 | PALMETTO GBA | NV |