Individual
AMY WADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5661
(704) 210-5660
Mailing address
9614 TRAMACERA CT NW, CONCORD, NC 28027
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076165
NC
Other
Enumeration date
10/26/2006
Last updated
10/27/2020
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