Individual
SYPHAY VONGKHAMCHANH
Active
Individual
SYPHAY VONGKHAMCHANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9535-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124938
NATIONAL BOARD CERTIFICATION OF NURSE ANESTHETISTS
—
Enumeration date
01/09/2020
Last updated
01/09/2020
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