Individual
WENDY B THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
131 TUCKER STREET, SUITE 5 - PROFESSIONAL ANESTHESIA ASSOCIATES, JACKSON, TN 38301-4055
(731) 541-5000
(731) 541-7075
Mailing address
131 TUCKER STREET, SUITE 5 - PROFESSIONAL ANESTHESIA ASSOCIATES, JACKSON, TN 38301-4055
(888) 358-0933
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN96821
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10965
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3624940
—
TN
Enumeration date
09/27/2005
Last updated
09/19/2012
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