Individual
WALLENA M GOULD
Active
Individual
WALLENA M GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR08657200
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00243400
NJ
367500000X
Certified Registered Nurse Anesthetist
RN502167L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072989
AANA NUMBER
—
05
—
102332049
—
PA
01
—
P00795663
RAILROAD MEDICARE
NJ
Enumeration date
08/09/2006
Last updated
09/05/2012
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