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Individual

ANNE WANK

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
1-030812
AL
367500000X
Certified Registered Nurse Anesthetist
10190
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116994
MS
05
051524092
AL
01
51524092
BCBS
AL
Enumeration date
06/20/2006
Last updated
07/21/2020
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