Individual
MS. WANDA K. SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
20680 SIERRA DR, BEND, OR 97701-8746
(541) 961-1378
Mailing address
20680 SIERRA DR, BEND, OR 97701-8746
(541) 961-1378
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
084051000RN/CRNA
OR
Other
Enumeration date
06/12/2006
Last updated
07/08/2014
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