Individual
MRS. DIANE BIGGERS WYSOCK
Active
Individual
MRS. DIANE BIGGERS WYSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0021722
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00534
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077581
AANA ID#
DE
01
—
P00728377
RAILROAD MEDICARE
DE
Enumeration date
04/09/2007
Last updated
10/09/2012
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