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Individual

MRS. ALEXANDRA Z WIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2500 N STATE ST, PFS, JACKSON, MS 39216-4500
(601) 984-4619
(601) 984-4657
Mailing address
2500 N STATE ST, PFS, JACKSON, MS 39216-4500
(601) 984-4619
(601) 984-4657

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R854818
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125300
MS
Enumeration date
07/22/2006
Last updated
01/03/2011
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