Whalio Doctors

NPI 1003367574

Wesley Tyrus Stewart, CRNA

Practitioner Certified Registered Nurse Anesthetist Johnson City, TN

Practice location

Address
1009 Novus Dr STE 2, Johnson City, TN 37604-8237
Phone
(423) 283-0776
Fax
(423) 283-0549

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 22217 (TN)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 164147 (TN)

Registry record

NPI
1003367574
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Oct 2016
Record last updated
27 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.