Individual
KARLA J WENTZEL,
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3100 SPRING FOREST ROAD, FALLS CHURCH, VA 22042-3307
(703) 776-3138
Mailing address
3100 SPRING FOREST ROAD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001106194
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024106194
VA
Other
Enumeration date
06/27/2006
Last updated
07/21/2015
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