Individual
RYAN E WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
Mailing address
129 W LAKE MEAD PKWY, #B-18, HENDERSON, NV 89015-7055
(702) 564-4440
(702) 558-1522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0742
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
587114
—
AZ
05
—
PENDING
—
NV
Enumeration date
08/28/2009
Last updated
12/05/2018
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