MRS. Wendy Amanda Gravelle, CRNA

NPI #1306948245 in Wadena, Minnesota

Provider Information

NPI Number
1306948245
Entity Type
Individual
Name
MRS. Wendy Amanda Gravelle, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Sep 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
415 JEFFERSON ST NORTH
City
Wadena
ZIP Code
56482
Phone
(218) 631-3510

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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