MS. Wanda Faye Ibrahim, CRNA
NPI #1174543680 in Mountain Home, Tennessee
Provider Information
- NPI Number
- 1174543680
- Entity Type
- Individual
- Name
- MS. Wanda Faye Ibrahim, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- CORNER SIDNEY AND LAMONT
- City
- Mountain Home
- State
- Tennessee
- ZIP Code
- 37684
- Phone
- (423) 926-1171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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