Individual
EMILY D WUERDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3209S 23RD ST 340, TACOMA, WA 98405-1602
(253) 503-2598
(253) 404-0506
Mailing address
1006 N ANDERSON ST, TACOMA, WA 98406-6814
(731) 796-0407
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
150796
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60577045
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8944647
MDCR PTAN (K)
WA
Enumeration date
10/29/2009
Last updated
01/05/2017
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