NPI 1700956877

Charles R Woodruff, CRNA

Practitioner Certified Registered Nurse Anesthetist Douglas, WY

Practice location

Address: 111 S 5th St, Douglas, WY 82633-2434
Phone: (307) 359-8667
Mailing address: 111 South 5th St, Douglas, WY 82633

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 23694.0835 (WY)

Other Nurse Anesthetist, Certified Registered providers in Wyoming →

Registry record

NPI: 1700956877
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2006
Record last updated: 20 Dec 2013

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.