Individual
REBECCA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1301 W 3RD ST, GILLETTE, WY 82716-3335
(307) 687-7246
Mailing address
1301 W 3RD ST, GILLETTE, WY 82716-3335
(307) 687-7246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
31021.1518
WY
Other
Enumeration date
05/13/2016
Last updated
05/23/2016
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