Individual
WENDI BILLA SKIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
PO BOX 650865, STE. 300, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP123077
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60833320
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313959401
—
TX
05
—
313959402
—
TX
01
—
8868UD
BLUE CROSS BLUE SHIELD
TX
01
—
P01163087
RAILROAD MEDICARE
TX
Enumeration date
12/10/2012
Last updated
03/17/2018
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