Individual
WADE LYNN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3810 CENTRAL AVE, SUITE H, HOT SPRINGS, AR 71913-6921
(501) 525-5840
(501) 525-1762
Mailing address
3810 CENTRAL AVE, SUITE H, HOT SPRINGS, AR 71913-6921
(501) 525-5840
(501) 525-1762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R28690
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C00464
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145678701
—
AR
01
—
146028
BCBS
KS
05
—
200536220A
—
KS
Enumeration date
07/28/2006
Last updated
09/15/2008
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