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Individual

GAIL A. WIENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4260
(206) 598-8812
Mailing address
PO BOX 24975, SEATTLE, WA 98124-0975
(425) 353-2840
(425) 353-8041

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00090472
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005319
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0170850
LABOR & INDUSTRY
WA
01
41075U
REGENCE BLUESHIELD
WA
01
8931408
L&I CRIME VICTIMS
WA
05
9610924
WA
Enumeration date
06/17/2006
Last updated
05/21/2008
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