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MRS. SUSAN HEADY WISEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6 MISSION HILLS CIR, ROGERS, AR 72758-1406
(970) 556-5720
Mailing address
6 MISSION HILLS CIR, ROGERS, AR 72758-1406
(970) 556-5720

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
162882
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
R84434
AR

Other

Enumeration date
01/23/2006
Last updated
05/26/2010
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