Individual
MARY S WEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN69119
TN
367500000X
Certified Registered Nurse Anesthetist
2021032481
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
3013336
KY
367500000X
Certified Registered Nurse Anesthetist
APN11143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300026641
—
IN
01
—
3013336
LICENSE
KY
05
—
3623969
—
TN
05
—
7100596470
—
KY
01
—
K299680
MEDICARE
KY
Enumeration date
09/27/2005
Last updated
11/20/2023
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