Individual
WANDA A. COLON ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
60 HOSPITAL RD, DEPARTMENT OF ANESTHESIOLOGY, LEOMINSTER, MA 01453-2205
(978) 466-2931
(978) 466-2779
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2288468
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110106165A
—
MA
Enumeration date
11/15/2012
Last updated
11/23/2020
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