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Individual

WENDY S WELTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R024281-0375
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003551
SD BLUE CROSS PROV #
SD
01
013K5SC
MN BLUE CROSS PROVIDER #
MN
05
1536607
IA
05
258683500
MN
05
460224743-48
NE
01
460224743-57105-AE55
TRICARE
SD
05
5751402
SD
01
R024281
DAKOTACARE
SD
Enumeration date
08/12/2006
Last updated
08/20/2010
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