NPI 1902882558

Matthew Alan Wild, CRNA

Practitioner Certified Registered Nurse Anesthetist Butte, MT

Practice location

Address: 400 S Clark St, Butte, MT 59701-2328
Phone: (406) 723-2500
Mailing address: 10 Town Plz # 67, Durango, CO 81301-5104

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CRA-3451 (CO)

Other Nurse Anesthetist, Certified Registered providers in Montana →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CRNA0370 (AZ)

Registry record

NPI: 1902882558
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2005
Record last updated: 6 Sep 2019

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.