Individual
JOEL WADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
(516) 370-3628
Mailing address
31 CAMI WAY, ELKTON, MD 21921-7308
(410) 441-0481
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00784
DE
Other
Enumeration date
03/14/2017
Last updated
12/23/2019
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