Individual
DEBRA WAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4519 GEORGE RD, STE 100, TAMPA, FL 33634-7329
(813) 496-1075
Mailing address
4519 GEORGE RD, STE 100, TAMPA, FL 33634-7329
(813) 496-1075
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9178022
FL
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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