Individual
BERNADETTE THERESE WISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(850) 225-8294
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(850) 225-8294
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9247644
FL
Other
Enumeration date
03/22/2006
Last updated
07/01/2010
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