Individual
WENDI ESPOSITO-WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30226 S HICKORY LN, COOKSON, OK 74427-2255
(620) 249-3930
(918) 453-2341
Mailing address
30226 S HICKORY LN, COOKSON, OK 74427-2255
(620) 249-3930
(918) 453-2341
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54559
KS
367500000X
Certified Registered Nurse Anesthetist
94071
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314490A
—
KS
05
—
200406420A
—
OK
Enumeration date
10/03/2006
Last updated
07/17/2014
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