Individual
WESLEY M WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
835 SE BISHOP BLVD, PULLMAN, WA 99163-5512
(509) 332-2541
Mailing address
835 SE BISHOP BLVD, PULLMAN, WA 99163-5512
(509) 332-2541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005662
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036443
—
WA
01
—
911603497
TAX ID
WA
05
—
9630989
—
WA
Enumeration date
08/30/2006
Last updated
08/05/2025
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