Individual
MS. EDNA MAE WILMOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
117 DRAKE LN, HOT SPRINGS, AR 71913-7874
(501) 760-3200
(501) 760-5005
Mailing address
117 DRAKE LN, HOT SPRINGS, AR 71913-7874
(501) 760-3200
(501) 760-5005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 32179 / C00549
AR
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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