Individual
RONNIE JAY WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1775 BROWNING WAY STE 102, ELKO, NV 89801-8338
(775) 299-4555
(775) 525-5257
Mailing address
660 S COOLIDGE ST, MOSES LAKE, WA 98837-1872
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
824627
NV
367500000X
Certified Registered Nurse Anesthetist
AP61066966
WA
367500000X
Certified Registered Nurse Anesthetist
CRNA000228
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002404030
—
NV
05
—
2157457
—
WA
01
—
P00003556
PALMETTO GBA
NV
Enumeration date
04/28/2006
Last updated
06/20/2022
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