Individual
STEVE FRED WILSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 383-2000
(435) 864-4186
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
193069-4406
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000199
NV
367500000X
Certified Registered Nurse Anesthetist
RN575952
PA
Other
Enumeration date
05/04/2006
Last updated
06/01/2023
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