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Individual

SHERILYN R WETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
251 SKAGGS RD, BRANSON, MO 65616-2031
(800) 277-8151
Mailing address
PO BOX 1308, BRANSON, MO 65615
(417) 239-3392
(417) 239-3394

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
029375
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158887001
AR
01
18866
COX HEALTH
MO
01
194111
BCBS
MO
05
200100550A
OK
01
20174319965616B004
TRICARE
MO
01
739499
HEALTHLINK
MO
05
912798725
MO
01
P00202167
RAILROAD
MO
Enumeration date
09/14/2005
Last updated
05/21/2009
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