NPI 1114178159

Keith a Wanner, CRNA

Practitioner Certified Registered Nurse Anesthetist Watertown, SD

Practice location

Address: 401 9th Ave NW, Watertown, SD 57201-1548
Phone: (605) 882-7000
Fax: (605) 882-7819

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CR000711 (SD)

Other Nurse Anesthetist, Certified Registered providers in South Dakota →

Registry record

NPI: 1114178159
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Oct 2008
Record last updated: 8 Oct 2008

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.