Individual
WESLEY WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1127 NORTH CHURCH STREET, GREENSBORO, NC 27401
(336) 832-7100
Mailing address
PO BOX 26595, GREENSBORO, NC 27415-6595
(336) 832-8014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
079269
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050363
—
NC
Enumeration date
10/02/2006
Last updated
07/09/2007
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