Individual
WACHMIDE LABRANCHE
Active
Individual
WACHMIDE LABRANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001250488
VA
163W00000X
Registered Nurse
AC002106
MD
367500000X
Certified Registered Nurse Anesthetist
0024171950
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
AC002106
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760806921
—
VA
Enumeration date
02/08/2014
Last updated
12/15/2023
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