Individual
RYAN V WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 LINCOLN ST, FORT MORGAN, CO 80701-3290
(970) 542-3350
Mailing address
20891 RD 21.3, FORT MORGAN, CO 80701
(970) 768-9383
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
N-39144
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
SRA 25005
CO
Other
Enumeration date
04/17/2009
Last updated
07/21/2022
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