Individual
CHARLY SAMANTHA WYLIE
Active
Individual
CHARLY SAMANTHA WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-113371
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1018723
TX
367500000X
Certified Registered Nurse Anesthetist
4007302
KY
Other
Enumeration date
01/22/2018
Last updated
02/19/2025
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