Individual
WILLIAM J. WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(207) 454-7521
(207) 454-9247
Mailing address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(207) 454-7521
(207) 454-9247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN320844L
PA
367500000X
Certified Registered Nurse Anesthetist
047978
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA243044
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1433520
KHP CENTRAL
PA
01
—
211803000
INDEP. BLUE CROSS
PA
01
—
430075687
RAIL ROAD MEDICARE
PA
01
—
50003218
CAPITAL ADVANTAGE
PA
01
—
78003
GEISINGER
PA
Enumeration date
09/29/2005
Last updated
09/25/2024
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