Individual
MR. EDMUND JAROM WINGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2011004382
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1389
AZ
390200000X
Student in an Organized Health Care Education/Training Program
RN0000164694
TN
Other
Enumeration date
12/13/2010
Last updated
10/12/2020
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