KRISTELL MARIE WADE

ENTERPRISE, OR
NPI1871503748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
KRISTELL MARIE WADE CRNA
604 MEDICAL PARKWAY
ENTERPRISE, OR 97828
Phone number: 541-426-5306
Mailing Address
KRISTELL MARIE WADE CRNA
79360 WADE GULCH LANE
LOSTINE, OR 97857
Phone number: 541-263-1465