Individual
BRENTON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,CRNA
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 747-3181
(509) 227-7070
Mailing address
PO BOX 4069, EVERETT, WA 98204-0007
(142) 540-7100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61480337
WA
Other
Enumeration date
06/29/2023
Last updated
01/19/2024
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