Individual
MATTHEW ZACHARY WOHLFAHRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP, CRNA
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
Mailing address
82 BUCKINGHAM DR, BELLA VISTA, AR 72714-3823
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R096962
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
0024188074
VA
367500000X
Certified Registered Nurse Anesthetist
2020023108
MO
Other
Enumeration date
04/01/2020
Last updated
07/10/2025
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