Miss Bettye R Wicker, CRNA | |
200 Tyler Avenue, West Memphis, AR 72301-4223 | |
(870) 735-1500 | |
(870) 733-3861 |
Full Name | Miss Bettye R Wicker |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 200 Tyler Avenue, West Memphis, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093772709 | NPI | - | NPPES |
119325701 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C00716 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C000716 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Bettye R Wicker, CRNA 200 W Tyler Ave, West Memphis, AR 72301-4223 Ph: (870) 735-1500 | Miss Bettye R Wicker, CRNA 200 Tyler Avenue, West Memphis, AR 72301-4223 Ph: (870) 735-1500 |
Mr. Tommy Lee Fair, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 W Tyler Ave, West Memphis, AR 72301 Phone: 870-735-1500 Fax: 870-733-3861 | |
Jason Tibbett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Tyler St, West Memphis, AR 72301 Phone: 870-735-1500 Fax: 870-733-3861 |