Individual
KATHRYN COLLEEN DEWILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
751 S BASCOM AVE, ANESTHESIOLOGY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
751 S BASCOM AVE, ANESTHESIOLOGY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3780
CA
367500000X
Certified Registered Nurse Anesthetist
RN652433
CA
Other
Enumeration date
02/11/2009
Last updated
06/30/2025
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