| Vance Wormwood, CRNA | |
|
22 Bramhall St, Portland, ME 04102-3134 | |
| (207) 662-7046 | |
| Not Available |
| Full Name | Vance Wormwood |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 22 Bramhall St, Portland, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063453751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R019157 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vance Wormwood, CRNA 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-7046 | Vance Wormwood, CRNA 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-7046 |
Kayla Richardson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 | |
Mr. Rex A Huber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 | |
Heidi S Alpern, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Department Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 | |
Katherine Mercedes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Ms. Kathryn L Lillie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Anesthesiology, Portland, ME 04101 Phone: 207-553-6277 | |
Jessica L Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Dept Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 |