CHARLY SAMANTHA WYLIE

FLORENCE, AL
NPI1427566678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1018723)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  4007302)
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-113371)
Enumeration Date2018-01-22
Last Update Date2024-03-19
Business Address
CHARLY SAMANTHA WYLIE CRNA
205 MARENGO ST
FLORENCE, AL 35630-6033
Phone number: 256-768-9191
Mailing Address
CHARLY SAMANTHA WYLIE CRNA
PO BOX 1198
ABILENE, TX 79604-1198
Phone number: 325-670-4220