Individual
MS. PAMELA A WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-2072
Mailing address
PO BOX 94645, SEATTLE, WA 98124-6945
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
184908
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007716
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052051
—
NC
Enumeration date
08/31/2006
Last updated
10/08/2014
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