Individual
MRS. CATHERINE ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1201 HIGHWAY 71 S, HOT SPRINGS, SD 57747-8800
(605) 661-6979
Mailing address
5637 BLUE STEM CT, RAPID CITY, SD 57702-8990
(605) 661-6979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101135
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000635
SD
Other
Enumeration date
11/30/2006
Last updated
05/25/2011
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