Individual
RICHARD J. WAYSHVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2264264
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2264264
MA
Other
Enumeration date
02/13/2017
Last updated
12/02/2020
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